Bert G Main, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

E1647 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

Oct 16, 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

West Virginia School of Osteopathic Medicine, 1993

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)

Hospital & facility affiliations

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

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.

• Renew Medical Group of Arkansas LTD

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1215755947
  Medicare reassignment Care Compare group NPD
• Western Arkansas Anesthesiology Associates P.a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1548202294
  Medicare reassignment NPD
• Western Arkansas Obstetric Anesthesia LLC

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1952671703
  Medicare reassignment NPD

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1841370665",
    "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": "MAIN",
        "first_name": "BERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133303003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Maechler
• Daniel Brian Maechler
• Elizabeth Victoria Maechler, APRN
• Jack L Magness Jr., MD
• Joann Mahan, APRN
• Sara Maitland, SLP
• Maria Altaf Majeed, MD
• Yelizaveta Valeriyevna Makhatadze, M.D.
• Malcolm R Hutchins O D P a
• Oksana Maliar, MD

• 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 Aug 25, 2010; 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.