FORT NEURO (NPI# 1932619327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932619327 |
| Entity Type | Organization |
| Organization Name | FORT NEURO |
| Practice Address |
1501 S Waldron Rd Ste 109 Fort Smith AR 72903-2568 |
| Practice Telephone | 4792423310 |
| Practice Fax Number | 4794398868 |
| Mailing Telephone | 4792423310 |
| Mailing Fax Number | 4794398868 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | TIMOTHY Y MARYANOV (OWNER) |
| Authorized Official Telephone | 4792423310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1501 S WALDRON RD STE 109 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347132 | Mariah Lee Simmons | Neurological Surgery | 7001 Rogers Ave Ste 501, Fort Smith, AR 72903-4073 | 2019-10-09 |
| 1225185788 | Albert Macdade | Neurological Surgery | 2642 Enid Pl, Fort Smith, AR 72901-7128 | 2007-01-05 |
| 1891796538 | J Michael Standefer Md Pa | Neurological Surgery | 520 Lexington Ave, Fort Smith, AR 72901-4641 | 2005-08-03 |
| 1568720548 | Kenneth Clair Foxx IIi | Neurological Surgery | 2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 | 2012-04-27 |
| 1396003364 | Katarzyna Halina Czerniecka-foxx | Neurological Surgery | 2713 S 74th St Ste 301, Fort Smith, AR 72903-5155 | 2012-04-27 |
| 1396027421 | Fort Smith Hma Physician Management, LLC | Neurological Surgery | 1500 Dodson Ave, Suite 260, Fort Smith, AR 72901-5182 | 2011-09-14 |
| 1629298500 | Timothy Y. Maryanov, Md | Neurological Surgery | 1500 Dodson Ave, Suite 285, Fort Smith, AR 72901-5182 | 2007-04-26 |
| 1811919160 | Joseph William Queeney | Neurological Surgery | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2006-07-24 |
| 1154399590 | Arthur M Johnson | Neurological Surgery | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043726888 | Emad Talal Aboud | Neurological Surgery | 5 Saint Vincent Cir Ste 503, Little Rock, AR 72205-5416 | 2017-12-15 |
| 1871035352 | Edison Brain & Spine Surgeons, Pllc | Neurological Surgery | 3880 Plantation Estates Dr, Jonesboro, AR 72404-6891 | 2016-11-15 |
| 1588984223 | Tarek Abuelem | Neurological Surgery | 6020 Warden Rd, Suite 100, Sherwood, AR 72120-6068 | 2010-06-04 |
| 1417106592 | Wilbur Mack Giles | Neurological Surgery | 24 Duclair Ct, Little Rock, AR 72223-9570 | 2008-09-15 |
| 1245487198 | John Akins | Neurological Surgery | 2110 East Main Street, Mountian View, AR 72560 | 2008-08-22 |
| 1093995136 | Adib Adnan Abla | Neurological Surgery | 4301 W Markham St # 507, Little Rock, AR 72205-7101 | 2007-11-06 |
| 1790964666 | Gary S Sapiro | Neurological Surgery | 2702 Nix Lake Dr, Jonesboro, AR 72404-0918 | 2007-10-29 |
| 1003018748 | Brad A Thomas | Neurological Surgery | 5 Saint Vincent Cir Ste 502, Little Rock, AR 72205-5412 | 2007-06-04 |
| 1972725232 | Hot Springs Neurosurgery Clinic, P.a. | Neurological Surgery | #1 Mercy Lane, Suite 502, Hot Springs, AR 71913-6462 | 2007-05-03 |
| 1093854473 | Advanced Monitoring Services Inc. | Neurological Surgery | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.