Active NPI
Mark Hamilton Smith, MD
- Family Medicine Physician
- Haines, AK
National Provider Identifier
1003950890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7898
- Practice address
- 87 Haven Court
Haines, AK 99827-9982 - Phone
- (256) 665-2568
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 205950 | NY | |
| Family Medicine Physician | 207Q00000X | 7898 | AK | Primary |
Addresses
Primary practice location
87 Haven Court
Haines, AK 99827-9982
Mailing address
PO Box 729
Haines, AK 99827-0729
Phone (256) 665-2568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140306001023 | TN | Practitioner - Family Practice | 7517110695 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205950 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1003950890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "HAINES",
"state": "AK",
"postal_code": "998270729",
"telephone_number": "256-665-2568",
"fax_number": "256-842-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 HAVEN COURT",
"city": "HAINES",
"state": "AK",
"postal_code": "998279982",
"telephone_number": "256-665-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARK",
"middle_name": "HAMILTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2021-06-29",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "205950",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "7898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines, AK
- Lisa Ann Schwartz, RTN
- Searhc Haines Medical Clinic Pharmacy
- Teela R Seligmann, LMT
- Melina Shields
- Pamela J Sloper, RN
- South East Alaska Professional Counseling Associates LLC
- South East Alaska Regional Health Consortium
- South East Alaska Regional Health Consortium
- Southeast Alaska Regional Health Consortium
- Southeast Alaska Regional Health Consortium
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.