Active NPI
John C Smith, MD
- Surgery Physician
- Ozark, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C-4863
- Practice address
- 201 S 7TH St
Ozark, AR 72949-3131 - Phone
- (479) 452-2077
- NPI assigned
- Aug 5, 2006
- Last updated
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C-4863 | AR | Primary |
Addresses
Primary practice location
201 S 7TH St
Ozark, AR 72949-3131
Mailing address
PO Box 3528
Fort Smith, AR 72913-3528
Phone (479) 452-2077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020019149 | Other | RR MEDICARE | |
| 102243001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arkansas College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Ozark
Practice addresses (Care Compare)
801 W River St
Mercy Hospital Turner Memorial
Ozark, AR 72949-3000
Phone (479) 667-4138
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Booneville | Surgery | Current | Accepting new patients |
Locations
880 W Main St
Booneville, AR 72927
Phone (479) 675-2800
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
201 S 7th St
Ozark, AR 72949
Phone (479) 667-1590
801 W River St
Ozark, AR 72949
Phone (479) 667-4138
500 E Academy St
Paris, AR 72855
Phone (479) 963-6101
Interoperability endpoints
- jsmith184745@directb.mercy.net
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
-
- Emergency Care Clinic/Center
- Ozark, AR
- NPI 1881642767
-
- Emergency Care Clinic/Center
- Paris, AR
- NPI 1518915321
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1073522546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3528",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729133528",
"telephone_number": "479-452-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 7TH ST",
"city": "OZARK",
"state": "AR",
"postal_code": "729493131",
"telephone_number": "479-452-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "C-4863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "020019149",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102243001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.