Carl E. Smith, M.D., F.a.a.P., PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

24028 Issued in KY

Legal business name

CARL E. SMITH, M.D., F.A.A.P., PLLC

Practice address

120 Professional LN
Suite 201
Harlan, KY 40831-2600

Phone

(606) 573-1004

Fax

(606) 573-0059

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl E. Smith Jr., M.D.NPI 1972583607

Title

Owner

Phone

(606) 573-1004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/mi-smithmd

Practitioners 1

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

• Carl Edwin Smith Jr., MD

  • Pediatrics Physician
  • Harlan, KY
  • NPI 1972583607
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1053427286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL LN",
            "address_2": "SUITE 201",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312600",
            "telephone_number": "606-573-1004",
            "fax_number": "606-573-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL LN",
            "address_2": "SUITE 201",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312600",
            "telephone_number": "606-573-1004",
            "fax_number": "606-573-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL E. SMITH, M.D., F.A.A.P., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-573-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "24028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000953",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bryson, OTR/L
• Stephen C Bryson, D.M.D.
• Linda Susan Burnett, RPH
• Jameel Butt, MD
• Ashley Leann Caldwell, LPCC
• Carole Kiphart Bays PSC
• Gregory Lynn Carpenter, M.D.
• Jordan Cecil Childers, DO
• Larry Wayne Childers
• Tammy Chorak, PMH-NP

• Specialist in Harlan, KY
• Providers in Harlan, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.