John W Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.0052600 Issued in CO

Practice address

704 Edwards St
Westcliffe, CO 81252-8588

Phone

(719) 783-2380

Fax

(719) 783-2377

NPI assigned

Aug 16, 2006

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Compass Providence Urgent Care LLLP

  • Urgent Care Clinic/Center
  • Mobile, AL
  • NPI 1770997579
  Medicare reassignment NPD
• Compass Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mobile, AL
  • NPI 1295028082
  Medicare reassignment NPD
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1053424655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 EDWARDS AVE",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812528588",
            "telephone_number": "719-783-2380",
            "fax_number": "719-783-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 EDWARDS ST",
            "city": "WESTCLIFFE",
            "state": "CO",
            "postal_code": "812528588",
            "telephone_number": "719-783-2380",
            "fax_number": "719-783-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DO.0052600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A & B",
            "identifier": "464789YNXL",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Schafer, P.T.
• Tracey Schlafer
• Tina Schwingler, LCSW
• Susanne Megan Silber, RN, BSN, MPH
• India I. Smith, LPC
• Gordon Marcus Stephens, DO
• Valley Roots Medical LLC
• West Central Mental Health Center, Inc (Solvista Health)
• West Central Mental Health Center, Inc. (Solvista Health)
• West Central Mental Health Center, Inc. (Solvista Health)

• Family Medicine Physician in Westcliffe, CO
• Providers in Westcliffe, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.