Active NPI
Hassan M Masri, M.D.
- Gastroenterology Physician
- Fort Smith, AR
National Provider Identifier
1295792927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MC2205
- Practice address
- 623 S 21St St
Fort Smith, AR 72901-3914 - Phone
- (479) 441-1502
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MC2205 | AR | Primary |
Addresses
Primary practice location
623 S 21St St
Fort Smith, AR 72901-3914
Mailing address
623 S 21St St
Fort Smith, AR 72901-3914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC2205 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Medical Clinic | Past | Accepting new patients | |
| Thuylinh Ho Pham MD PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Fort Smith, AR
- NPI 1194937235
-
- Internal Medicine Physician
- Fort Smith, AR
- NPI 1205248259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1295792927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 S 21ST ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729013914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 S 21ST ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729013914",
"telephone_number": "479-441-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASRI",
"first_name": "HASSAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "MC2205",
"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 May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.