Jennifer Smith, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19010 Issued in NH

Practice address

3073 White Mountain Hwy
North Conway, NH 03860-7101

Phone

(603) 356-5461

Fax

(603) 356-9647

NPI assigned

Jan 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 2365418993, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital, the Hospital, North Conway, NH, CCN 301307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsmith286235@direct.mmc.mainehealth.org
• FHIR API: https://api.platform.athenahealth.com/20740/brand/1/csg/1/fhir/r4

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.

• Memorial Hospital

  • Critical Access Hospital
  • North Conway, NH
  • NPI 1700864709
  Medicare reassignment Care Compare group NPD
• Saco River Medical Group, PC

  • Family Medicine Physician
  • Conway, NH
  • NPI 1861587453
  Medicare reassignment NPD
• Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • North Conway, NH
  • NPI 1942361985
  NPD
• Memorial Hospital

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1992000103
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital

  • Critical Access Hospital
  • North Conway, NH
  • NPI 1700864709
  Care Compare affiliation
• Memorial Hospital

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1992000103

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Obstetrics & Gynecology Physician
  • North Conway, NH
  • NPI 1366421141

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Orthopaedic Surgery Physician
  • North Conway, NH
  • NPI 1619968849

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • North Conway, NH
  • NPI 1629060926

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1013988013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5461",
            "fax_number": "603-356-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5461",
            "fax_number": "603-356-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1889",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Eliza Skinner, MD
• Slopeside Physical Therapy
• Barbara Smith, MS, RD, CDE
• Craig M Smith, D.O.
• Drew G. Smith, DDS
• Katie Condos Smith, LMT, NCMT
• Valerie Smith, APRN
• Tara Anne Soraghan, DPM
• Katherine Stewart Soule, LMT 3597
• Kaylee Souza

• Family Medicine Physician in North Conway, NH
• Providers in North Conway, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
• 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.

Verify at the official NPI Registry.