Douglas Carter Smith

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

112749 Issued in AK

Legal business name

DOUGLAS CARTER SMITH

Practice address

17741 Mountainside Village Dr
Anchorage, AK 99516-5756

Phone

(907) 345-0728

Fax

(907) 345-0728

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Joseph E Beaty

Title

Billing Agent

Phone

(907) 770-2301

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Douglas Carter Smith, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas C Smith, MD

  • General Practice Physician
  • Anchorage, AK
  • NPI 1285602508
  Medicare reassignment NPD
• Lisa Xiao Spurlock, PA-C

  • Physician Assistant
  • Anchorage, AK
  • NPI 1346671153
  Medicare reassignment

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1023169109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2380",
            "fax_number": "907-770-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17741 MOUNTAINSIDE VILLAGE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995165756",
            "telephone_number": "907-345-0728",
            "fax_number": "907-345-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS CARTER SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-2301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "112749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MGD157",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Carter Smith, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doug a Vermillion MD
• Marilyn J Dougher, RNC
• Janet Dougherty, SLPA
• William G Dougherty, OT
• Mark William Doughty, FNP-BC
• Douglas J. Luiten, D.M.D., P.C.
• Donnell Isaiah Douglas
• Earl Douglas III
• Stephanie Lee Douglas, LPN
• Chastity Dovell

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.