Stacy R Tait PA
NPI 1073788212 · Anesthesiology Physician · Fort Smith, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy R Tait PA is a Anesthesiology Physician organization in Fort Smith, AR (NPI 1073788212).
Provider details
- NPI number
- 1073788212
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacy Tait, Self(501) 771-4693
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-29
Frequently asked questions
- What is Stacy R Tait PA's NPI number?
- Stacy R Tait PA's National Provider Identifier (NPI) is 1073788212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stacy R Tait PA?
- Stacy R Tait PA is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Stacy R Tait PA located?
- Stacy R Tait PA's practice location on file with NPPES is 5518 Ellsworth Rd, Fort Smith, AR 72903-3222.
- What is Stacy R Tait PA's phone number?
- The practice phone number listed in the NPPES registry for Stacy R Tait PA is (501) 771-4693.
- Does Stacy R Tait PA accept Medicare?
- Stacy R Tait PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stacy R Tait PA?
- The authorized official listed on Stacy R Tait PA's NPPES record is Stacy Tait, Self. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stacy R Tait PA's NPI active?
- Yes — Stacy R Tait PA's NPI (1073788212) is active in the NPPES registry as of the last update on 2008-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.