Tait, Mark Adam
Tait, Mark Adam is an individual health care provider with primary practice located at 4301 W Markham St Ste 531 , Little Rock AR 72205-7199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tait, Mark Adam can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St Ste 531
Little Rock AR 72205-7199
Phone: (501) 686-8000
Fax: (501) 526-5148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2015-00181 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E-7598 | Arkansas |
Profile Details
| NPI number | 1790003499 |
|---|---|
| LBN Legal business name | Tait, Mark Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2010 |
| Last updated | Oct 6th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790003499 | NPPES |
| Arkansas | MEDICAID | 209552001 | |
| Arkansas | MEDICAID | 1790003499 | |
| Arkansas | MEDICAID | NC2414 |
Popular Providers
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Blankenship, William F
10301 Kanis Rd , Little Rock AR 72205-6205 -
Wilson, John L
4301 W Markham St # 531 , Little Rock AR 72205-7101 -
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Gilliam, David L
10301 Kanis Rd , Little Rock AR 72205-6205 -
Hahn, Herbert L
10301 Kanis Rd , Little Rock AR 72205-6205 -
Pruitt, Tad C
800 Fair Park Blvd , Little Rock AR 72204 -
Barnett, David C
800 Fair Park Blvd , Little Rock AR 72204-1720 -
Thompson, Samuel Berry
10301 Kanis Rd , Little Rock AR 72205-6205