Provider Demographics
NPI:1104006048
Name:JOE P ALBERTY MD
Entity Type:Organization
Organization Name:JOE P ALBERTY MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALBERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-452-3500
Mailing Address - Street 1:7303 ROGERS AVE
Mailing Address - Street 2:SUITE 418
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4165
Mailing Address - Country:US
Mailing Address - Phone:479-452-3500
Mailing Address - Fax:479-452-4113
Practice Address - Street 1:7303 ROGERS
Practice Address - Street 2:SUITE 418
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4104
Practice Address - Country:US
Practice Address - Phone:479-452-3500
Practice Address - Fax:479-452-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR50063Medicare PIN