Active NPI
Justin Todd Smith, CRNA, DMPNA
- Certified Registered Nurse Anesthetist
- Point Pleasant, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 82829
- Practice address
- 2520 Valley Dr
Point Pleasant, WV 25550-2031 - Phone
- (304) 720-8816
- Fax
- (904) 494-6467
- NPI assigned
- Jun 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 82829 | WV | Primary |
Addresses
Primary practice location
2520 Valley Dr
Point Pleasant, WV 25550-2031
Mailing address
20 Boston CMNS
Winfield, WV 25213-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 736-6126
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Hospital & facility affiliations
- St Marys Medical Center
- Thomas Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Cities Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of West Virginia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| THS Physician Partners Inc | Current | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1699845164
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
- Anesthesiology Physician
- Irving, TX
- NPI 1821448150
Nurse Anesthetist, Certified Registered, WV
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1013399336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BOSTON CMNS",
"city": "WINFIELD",
"state": "WV",
"postal_code": "252139100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 VALLEY DR",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255502031",
"telephone_number": "304-720-8816",
"fax_number": "904-494-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JUSTIN",
"middle_name": "TODD",
"credential": "CRNA, DMPNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "82829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.