Active NPI
Randall H Smith MD Inc
- Surgery Physician
- Kent, OH
National Provider Identifier
1093994196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 045481
- Legal business name
- RANDALL H SMITH MD INC
- Practice address
- 1930 State Route 59
Kent, OH 44240-4112 - Phone
- (330) 678-5447
- Fax
- (330) 678-5638
- NPI assigned
- Oct 25, 2007
- Last updated
- Oct 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall Howard Smith, M.D.
- Title
- President
- Phone
- (330) 678-5447
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 045481 | OH | Primary |
Addresses
Primary practice location
1930 State Route 59
Kent, OH 44240-4112
Mailing address
1930 State Route 59
Kent, OH 44240-4112
Phone (330) 678-5447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298128 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Kent, OH
- NPI 1699737114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1093994196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 STATE ROUTE 59",
"city": "KENT",
"state": "OH",
"postal_code": "442404112",
"telephone_number": "330-678-5447",
"fax_number": "330-678-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 STATE ROUTE 59",
"city": "KENT",
"state": "OH",
"postal_code": "442404112",
"telephone_number": "330-678-5447",
"fax_number": "330-678-5638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDALL H SMITH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-678-5447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "045481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298128",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.