NPIMap

Organization Active NPI

Brett Whatcott DO PLLC

  • Interventional Pain Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1003470501
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
BRETT WHATCOTT DO PLLC
Practice address
2707 Market Trace
Fort Smith, AR 72908
Phone
(479) 434-3600
Fax
(479) 434-3602
NPI assigned
Apr 30, 2019
Organization subpart
Yes
Parent organization
BRETT WHATCOTT DO PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Peine, MHA
Title
Administrator
Phone
(479) 431-6990

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2707 Market Trace
Fort Smith, AR 72908

Mailing address

2707 Market Trace
Fort Smith, AR 72908
Phone (479) 434-3600

Other practice location 1

204 Woodlawn Ave
Tahlequah, OK 74464-3318
Phone (479) 434-3600

Other identifiers 2

IdentifierTypeStateIssuer
5515OtherOKLICENSE
E-2230OtherARLICENSE

Other names 1

  • Oklahoma Pain Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Brett Whatcott DO PLLC

Locations

304 N Greenwood Ave
Fort Smith, AR 72901
Phone (479) 783-3633

302 N Greenwood Ave
Fort Smith, AR 72901
Phone (479) 434-3600

2707 Market Trce
Fort Smith, AR 72908
Phone (479) 434-3600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1003470501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 MARKET TRACE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72908",
            "telephone_number": "479-434-3600",
            "fax_number": "479-434-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 MARKET TRACE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72908",
            "telephone_number": "479-434-3600",
            "fax_number": "479-434-3602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643318",
            "country_code": "US",
            "telephone_number": "479-434-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRETT WHATCOTT DO PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRETT WHATCOTT DO PLLC",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "PEINE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-431-6990",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5515",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E-2230",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.