NPIMap

Individual provider Active NPI

Erich Glenn Smith, MD

  • Diagnostic Radiology Physician
  • Ishpeming, MI
National Provider Identifier
1023577392
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301512347 Issued in MI
Practice address
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone
(906) 485-2632
NPI assigned
Mar 17, 2019
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301512347 MI Primary

Addresses

Primary practice location

901 Lakeshore Dr
Ishpeming, MI 49849-1367

Mailing address

25 Oak Hill Dr
Marquette, MI 49855-9446
Phone (906) 361-6742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240810000041 MI Practitioner - Diagnostic Radiology 1052647435 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians
Upper Peninsula Imaging PCGroup PAC ID 0941469456, 3 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 485-2744

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301512347MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 14, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Baraga County Memorial Hospital Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Baraga County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Upper Peninsula Imaging PC Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients

Locations

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

2833 US Highway 41 W
Marquette, MI 49855

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1023577392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK HILL DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559446",
            "telephone_number": "906-361-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERICH",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-17",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301512347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

Verify at the official NPI Registry.