Organization Active NPI

Smith Radiology Inc

  • Diagnostic Radiology Physician
  • New Cumberland, PA
National Provider Identifier
1053384958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SMITH RADIOLOGY INC
Practice address
1515 Bridge St
New Cumberland, PA 17070-1120
Phone
(717) 774-7351
Fax
(717) 774-7529
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Henry Kyle Smith, DONPI 1487627238
Title
Owner President
Phone
(717) 774-7351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1515 Bridge St
New Cumberland, PA 17070-1120

Mailing address

1515 Bridge St
New Cumberland, PA 17070-1120
Phone (717) 774-7351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000438 PA Part B Supplier - Clinic/Group Practice 7113965047 Receives reassigned benefits from 1 practitioner
Practice locations: Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

945 E Park Dr
Harrisburg, PA 17111

6310 Allentown Blvd
Harrisburg, PA 17112

1515 Bridge St
New Cumberlnd, PA 17070
Phone (717) 695-4084

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053384958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701120",
            "telephone_number": "717-774-7351",
            "fax_number": "717-774-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BRIDGE ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701120",
            "telephone_number": "717-774-7351",
            "fax_number": "717-774-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "717-774-7351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Cumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.