NPIMap

Individual provider Active NPI

Harold A Smart, DO

  • Family Medicine Physician
  • Carthage, MO
National Provider Identifier
1063441632
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
118282 Issued in MO
Practice address
719 W Centenial
Carthage, MO 64836
Phone
(417) 359-9502
Fax
(417) 358-8660
NPI assigned
Jul 3, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 118282 MO Primary

Addresses

Primary practice location

719 W Centenial
Carthage, MO 64836

Mailing address

PO Box 3810
Joplin, MO 64803
Phone (417) 359-9502

Other identifiers 5

IdentifierTypeStateIssuer
100344000AMedicaidKS
119881OtherMOANTHEM
244637104MedicaidMO
080140494OtherRR MEDICARE
100193980AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000367 MO Practitioner - Family Practice 6901880889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians

Practice addresses (Care Compare)

719 W Centennial Ave
Carthage, MO 64836-2816
Phone (417) 359-9502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
118282MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System Family Medicine CurrentSince Oct 14, 2012 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Oct 14, 2012 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients
St.Luke's Management ,Inc. Past Accepting new patients

Locations

1632 Missouri Ave
Carthage, MO 64836
Phone (417) 358-1500

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

719 W Centennial Ave
Carthage, MO 64836
Phone (417) 358-1002

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

307 W 11th St
Ste 1
Lamar, MO 64759
Phone (417) 682-3300

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Luke's Nursing and RehabilitationCarthage, MO, CCN 265661 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Aug 1, 2007
Aug 1, 2007
Aug 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • St.Luke's Management ,Inc.

    dba St. Luke's Nursing and Rehabilitation

    • Skilled Nursing Facility
    • Carthage, MO
    • NPI 1720138027

    Adp of the SNF, Corporate Director, Operational/Managerial Control

    CMS ownership

Organizations & group practices 4

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1063441632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64803",
            "telephone_number": "417-359-9502",
            "fax_number": "417-358-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W CENTENIAL",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "64836",
            "telephone_number": "417-359-9502",
            "fax_number": "417-358-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "HAROLD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "118282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100344000A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "119881",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244637104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080140494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.