Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Board Certified Plastic Surgeon, PA

Organization Specialist · NPI 1437283983

Board Certified Plastic Surgeon, PA is a Specialist in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2717 S 74th St
Fort Smith, AR 72903-5100
Phone: (479) 452-9080
Fax: (479) 452-7014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence C4716 (AR)

Record details

NPI number1437283983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Goodman — Owner · (479) 452-9080
Other names Raymond C. Goodman Jr, M.D.
NPI enumeratedMarch 15, 2007
Last updated in NPPESDecember 31, 2008
Mailing address2717 S 74th St, Fort Smith, AR 72903-5100

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