Individual provider Active NPI

John C Smith, MD

  • Surgery Physician
  • Ozark, AR
National Provider Identifier
1073522546
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C-4863 Issued in AR
Practice address
201 S 7TH St
Ozark, AR 72949-3131
Phone
(479) 452-2077
NPI assigned
Aug 5, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020019149OtherRR MEDICARE
102243001MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091212000078 AR Practitioner - General Surgery 0749320380 Reassigns benefits to 6 organizations

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 OzarkGroup PAC ID 3678467412, shared by 3 NPIs, 4 clinicians

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

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Ozark CurrentSince Jan 1, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Jan 1, 2016 Accepting new patients
Mercy Hospital Paris CurrentSince Jan 1, 2016 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 1, 2011 Accepting new patients
Mercy Hospital Ozark CurrentSince Jan 1, 2016 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 1, 2011 Accepting new patients
Mercy Hospital Booneville Surgery CurrentSince Aug 10, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.