Individual provider Active NPI

Clifton Wayne Veatch, CRNA

  • Anesthesiology Physician
  • Fort Smith, AR
National Provider Identifier
1275770869
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C02737 Issued in AR
Practice address
2301 S 56TH St
Suite 110
Fort Smith, AR 72903-3755
Phone
(479) 452-1581
Fax
(479) 452-2148
NPI assigned
Jan 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C02737 AR Primary

Addresses

Primary practice location

2301 S 56TH St
Suite 110
Fort Smith, AR 72903-3755

Mailing address

PO Box 11880
Fort Smith, AR 72917-1880
Phone (479) 452-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090403000108 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961559240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
C02737ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Obstetric Anesthesia LLC Anesthesiology CurrentSince May 1, 2018 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. Anesthesiology CurrentSince Jan 1, 2009 Accepting new patients
Renew Medical Group of Arkansas LTD Anesthesiology CurrentSince Nov 15, 2024 Accepting new patients

Locations

2301 S 56th St
Ste 110
Fort Smith, AR 72903
Phone (479) 452-1581

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1275770869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11880",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171880",
            "telephone_number": "479-452-1581",
            "fax_number": "479-452-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S 56TH ST",
            "address_2": "SUITE 110",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033755",
            "telephone_number": "479-452-1581",
            "fax_number": "479-452-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEATCH",
        "first_name": "CLIFTON",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C02737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.