FORT NEURO
NPI 1932619327
Neurological Surgery in Fort Smith, AR

Active since October 11, 2017CLIA 04D2140804 · Waiver
1501 S WALDRON RD STE 109, FORT SMITH, AR 72903(479) 242-3310(479) 439-8868 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fort Neuro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT NEURO (NPI 1932619327) is a healthcare organization registered as a neurological surgery in Fort Smith, Arkansas and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Timothy Y Maryanov, Owner, as its authorized official.

NPPES Registry Identity

NPI1932619327
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameFORT NEURO
Location Address1501 S WALDRON RD STE 109Fort Smith, AR 72903-2568
Mailing Address1501 S Waldron Rd Ste 109Fort Smith, AR 72903-2568 · (479) 242-3310 · Fax (479) 439-8868
Fax(479) 439-8868
Organization SubpartNo
Authorized OfficialTimothy Y MaryanovOwner · (479) 242-3310
Enumeration DateOctober 11, 2017
✔ NPI 1932619327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
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.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1501 S WALDRON RD STE 109, Fort Smith, AR 72903

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2140804

Fort Neuro · Fort Smith, AR
Active · expires Nov 29, 2027
CLIA Number04D2140804
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Timothy Y. Maryanov
Laboratory Phone(479) 551-2127
Laboratory LocationFort Neuro9616 Rogers Avenue, Fort Smith, AR 72903
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Neuro's NPI number?

The NPI number for Fort Neuro is 1932619327. It was assigned to this organization in the NPPES registry on October 11, 2017.

Where is Fort Neuro located?

Fort Neuro is located at 1501 S Waldron Rd Ste 109, Fort Smith, AR 72903. The listed phone number is (479) 242-3310.

What is Fort Neuro's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Does Fort Neuro hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2140804) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Neuro was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.