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

Eastside OB/GYN PLLC

Organization Obstetrics & Gynecology Physician · NPI 1396786042

Eastside OB/GYN PLLC is an Obstetrics & Gynecology Physician in Fort Smith, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7001 Rogers Ave Ste 502
Fort Smith, AR 72903-4073
Phone: (479) 484-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1396786042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenna Roe — Coder · (479) 484-5901
NPI enumeratedJune 10, 2006
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address7001 Rogers Ave, Suite 502, Fort Smith, AR 72903-4073

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