Gary D Fine, D.O., F.A.C.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E0277 Issued in AR

Practice address

4200 Jenny Lind Road
Suite a
Fort Smith, AR 72901

Phone

(479) 484-1010

Fax

(479) 785-9916

NPI assigned

Aug 9, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Idabel, OK
  • NPI 1407822497
  NPD
• Choctaw Nation of Oklahoma

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Van Buren Hma, LLC

  • Family Medicine Physician
  • Van Buren, AR
  • NPI 1225078900
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1245231828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171768",
            "telephone_number": "479-484-1010",
            "fax_number": "479-785-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND ROAD",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-484-1010",
            "fax_number": "479-785-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "D.O., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E0277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127031003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Squirrel Fields III
• Santiago Figueroa, QBHP
• Laney Fincher
• Dorothy Findlay
• Seth Aaron Findley
• Sara Danielle Fink, RN
• Rachel Renee Fiori, MD
• Brooks K Fiser, DDS
• Angela Dawn Fisher, OTRL
• Kelsey Fisher, PT, DPT

• Specialist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.