Taylor Jared Sites, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PT2022-089 Issued in AR

Practice address

3900 N Parkview Dr
Fayetteville, AR 72703-6398

Phone

(479) 316-4785

Fax

(479) 966-4197

NPI assigned

Dec 2, 2022

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Arkansas College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

The Orthopaedic and Joint Preservation Center of Arkansas, P.a.Group PAC ID 0042248445, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Merit-based Incentive Payment System (MIPS)

Final score

91.41 of 100Reported as apm

Quality

79.26

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• The Orthopaedic and Joint Preservation Center of Arkansas, P.a.

  • Specialist
  • Fayetteville, AR
  • NPI 1528079407
  Medicare reassignment Care Compare group
• F&S Physical Therapy, Inc.

  • Physical Therapist
  • Alma, AR
  • NPI 1518936418
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1154031987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-316-4785",
            "fax_number": "479-966-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-316-4785",
            "fax_number": "479-966-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITES",
        "first_name": "TAYLOR",
        "middle_name": "JARED",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AR",
            "license": "PT2022-089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjsites@aoshogdocs.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "HISP Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HISP Address",
            "address_1": "3900 N Parkview Dr",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727036398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Whitney Sipe, MD
• Mali Sirisena
• Charles Paul Sisco, M.D.
• Cortney Sisco
• Site Saver Inc.
• Terry J Sites, MD
• Ashley Sizemore
• Dylan Blaze Sizemore
• Whitney Skaggs
• Diana Skelton

• Surgical Physician Assistant in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Surgical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.