Individual
DR. THOMAS E CHEYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6248
(479) 709-6700
(479) 709-6751
Mailing address
PO BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-6700
(479) 709-6751
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
C5734
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0464691
CIGNA
AR
01
—
0920084
UNITED HEALTHCARE
AR
01
—
100076850A
OKLAHOMA MEDICAID
OK
05
—
101905001
—
AR
01
—
17637000000
QUALCHOICE
AR
01
—
200038811
RAILROAD MEDICAE
AR
01
—
4613344
AETNA
AR
01
—
50998
ARKANSAS BLUE CROSS
AR
01
—
904221
USA MCO
AR
Enumeration date
03/09/2006
Last updated
12/14/2009
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