Individual provider Active NPI

John Robert Smyer, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1073579462
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0558 Issued in TX
Practice address
10210 Frankford Ave
Ste 310
Lubbock, TX 79424
Phone
(806) 368-9631
Fax
(806) 368-9633
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0558 TX Primary

Addresses

Primary practice location

10210 Frankford Ave
Ste 310
Lubbock, TX 79424

Mailing address

10210 Frankford Ave
Ste 310
Lubbock, TX 79424
Phone (806) 368-9631

Other practice location 1

4004 82nd St
Lubbock, TX 79423-1900
Phone (806) 722-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100521000244 TX Practitioner - Internal MedicinePractitioner - Family Practice 5799702536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10711 Milwaukee Ave
Suite 200
Lubbock, TX 79424-6153
Phone (806) 368-9631

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Internal Medicine Current Accepting new patients
John R Smyer MD PLLC Internal Medicine CurrentSince Jul 26, 2010 Accepting new patients

Locations

10711 Milwaukee Ave
Ste 200
Lubbock, TX 79424
Phone (806) 368-9631

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

4004 82nd St
Lubbock, TX 79423
Phone (806) 722-3150

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

10210 Frankford Ave
Ste 310
Lubbock, TX 79424
Phone (806) 368-9631

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073579462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 FRANKFORD AVE",
            "address_2": "STE 310",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-368-9631",
            "fax_number": "806-368-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 FRANKFORD AVE",
            "address_2": "STE 310",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-368-9631",
            "fax_number": "806-368-9633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 82nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794231900",
            "country_code": "US",
            "telephone_number": "806-722-7400",
            "fax_number": "806-722-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYER",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.