Organization Active NPI

Lee E Smith MD & Robert M Jones MDPC

  • Otolaryngology Physician
  • Princeton, WV
National Provider Identifier
1043326762
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
LEE E SMITH MD & ROBERT M JONES MDPC
Practice address
100 New Hope Rd
Suite 20
Princeton, WV 24740-2143
Phone
(304) 487-3407
Fax
(304) 487-2203
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Lee E Smith, MD
Title
President
Phone
(304) 487-3407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

100 New Hope Rd
Suite 20
Princeton, WV 24740-2143

Mailing address

100 New Hope Rd
Suite 20
Princeton, WV 24740-2143
Phone (304) 487-3407

Other identifiers 2

IdentifierTypeStateIssuer
0011475000MedicaidWV
9917822OtherWVMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

508 New Hope Rd
Ste 20
Princeton, WV 24740
Phone (304) 487-3407

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1043326762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW HOPE RD",
            "address_2": "SUITE 20",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402143",
            "telephone_number": "304-487-3407",
            "fax_number": "304-487-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW HOPE RD",
            "address_2": "SUITE 20",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402143",
            "telephone_number": "304-487-3407",
            "fax_number": "304-487-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE E SMITH MD & ROBERT M JONES MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-487-3407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011475000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9917822",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.