Mark D Teeter, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C7545 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 1, 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 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Arkansas College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Anesthesia PAGroup PAC ID 6901965276, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

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.

• Phoenix Anesthesia PA

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1184889842
  Medicare reassignment Care Compare group NPD Authorized official
• River Valley Anesthesia Associates, P. a.

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

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376645317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2610",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729022610",
            "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": "TEETER",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C7545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10071550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan T Taylor, MD
• Rachel Taylor, QBHP
• TBD Health Enterprises of Arkansas PLLC
• Makayla Teague
• Teen Therapy Services LLC
• Pedro L Tena, COTA/L
• John D. Terrell, MD
• Terry Brackman DO Inc.
• Alexsia Terry
• Douglas Terry, DMD

• 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 Jul 8, 2007; 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.