Stacy Robert Tait, M.D., F.A.C.C

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N6996 Issued in AR

Practice address

2910 Jenny Lind
BLDG #12
Fort Smith, AR 72901-6735

Phone

(479) 785-2555

Fax

(479) 785-3555

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Oklahoma College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stacy R Tait PA

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1073788212
  Medicare reassignment Authorized official
• Arkansas Health Group

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1508800962
  Medicare reassignment NPD
• Ans Services of Arkansas PA

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1699558387
  NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• River Valley Anesthesia Associates, P. a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1417967472
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1003912353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11016",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171016",
            "telephone_number": "479-785-2555",
            "fax_number": "479-785-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 JENNY LIND",
            "address_2": "BLDG #12",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016735",
            "telephone_number": "479-785-2555",
            "fax_number": "479-785-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "STACY",
        "middle_name": "ROBERT",
        "credential": "M.D., F.A.C.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "N6996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100199400A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112530001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beena Syed
• Pamela L Symonds, THERAPEUTIC MASSAGE
• Haylee Syrock
• Caryl Lynn Tabarez, LPN
• Eileen J Taft, M.D.
• Talbot & Debriyn Behavioral Health, LLC
• Briana Talbot
• Rebecca Talley
• Tam'S Natural Beauty Salon
• Francisco X Tamayo, MD

• Anesthesiology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Anesthesiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.