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Stacy R Tait PA

NPI 1073788212ActiveOrganization· Anesthesiology· Fort Smith, AR

Anesthesiology in Fort Smith, Arkansas, registered in NPPES in April 2008. The authorized official on file is Stacy Tait, M.D., Self. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1073788212
StatusActive
Entity typeOrganization
NPI issuedApr 29, 2008
Last updated in NPPESApr 29, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiology Primary207L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

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