Active NPI
George Robert Smith, M.D.
- Ophthalmology Physician
- Martinsburg, WV
National Provider Identifier
1043254477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD09839
- Practice address
- 219 S Spring St
Martinsburg, WV 25401-4230 - Phone
- (301) 791-0888
- Fax
- (304) 267-5884
- NPI assigned
- Jun 15, 2006
- Last updated
- Jan 27, 2017
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD09839 | RI | Primary |
Addresses
Primary practice location
219 S Spring St
Martinsburg, WV 25401-4230
Mailing address
220 Champion Dr
Suite 100
Hagerstown, MD 21740-6665
Phone (301) 791-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7058909 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cataract & Laser Eye Surgeons of Hudson Valley PC | Past | Accepting new patients | |
| Vision Care Associates, LTD. | Ophthalmology | Past | Accepting new patients |
| Horizon Medical Group, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGICBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Cornwall, NY
- NPI 1689607244
-
dba Horizon Family Medical Group
- Family Medicine Physician
- Goshen, NY
- NPI 1063488179
-
- Ophthalmology Physician
- Westerly, RI
- NPI 1619068780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1043254477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CHAMPION DR",
"address_2": "SUITE 100",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406665",
"telephone_number": "301-791-0888",
"fax_number": "301-791-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S SPRING ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254014230",
"telephone_number": "301-791-0888",
"fax_number": "304-267-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GEORGE",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "MD09839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7058909",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.