Active NPI
Taylor Archie Prewitt, M. D.
- Cardiovascular Disease Physician
- Fort Smith, AR
National Provider Identifier
1730332008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R-1926
- Practice address
- 8311 Mile Tree Dr
Fort Smith, AR 72903-4318 - Phone
- (479) 452-0263
- Fax
- (479) 452-8577
- NPI assigned
- Oct 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R-1926 | AR | Primary |
Addresses
Primary practice location
8311 Mile Tree Dr
Fort Smith, AR 72903-4318
Mailing address
8311 Mile Tree Dr
Fort Smith, AR 72903-4318
Phone (479) 452-0263
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-1926 | AR | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1730332008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 MILE TREE DR",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034318",
"telephone_number": "479-452-0263",
"fax_number": "479-452-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 MILE TREE DR",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034318",
"telephone_number": "479-452-0263",
"fax_number": "479-452-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWITT",
"first_name": "TAYLOR",
"middle_name": "ARCHIE",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-29",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "R-1926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
- Premise Health of Arkansas Medical PA (Premise Health - Rheem)
- Premise Health of Arkansas Medical PA (Premise Health - Fort Smith East)
- Presley Speech Pathology, Inc.
- Carey Elizabeth Presley, M.S., CCC-SLP
- Christine Preston, LPC
- Brandon Pribble
- Claire B Price, M.D.
- Jackson Price, DPT
- Kevin Scott Price, MD
- Lawrence C Price, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.