Active NPI
David R Smith, MD
- Ophthalmology Physician
- Delaware, OH
National Provider Identifier
1104874627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 350601885
- Practice address
- 6 Lexington Blvd
Delaware, OH 43015-1047 - Phone
- (740) 363-3230
- Fax
- (740) 368-7185
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 350601885 | OH | Primary |
Addresses
Primary practice location
6 Lexington Blvd
Delaware, OH 43015-1047
Mailing address
# L-3549
Columbus, OH 43260-0001
Phone (740) 363-9021
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0751002 | Other | PALMETTO MEDICARE | |
| 180018458 | Other | TRAVELERS MEDICARE | |
| 650180 | Other | AETNA | |
| 000000118426 | Other | OH | ANTHEM |
| 353077 | Other | SUBMITTER NO | |
| 0800476 | Other | UHC | |
| 0974549 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350601885 | OH | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1104874627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "# L-3549",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432600001",
"telephone_number": "740-363-9021",
"fax_number": "740-383-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LEXINGTON BLVD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151047",
"telephone_number": "740-363-3230",
"fax_number": "740-368-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAVID",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "350601885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MEDICARE",
"identifier": "0751002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "180018458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "650180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000118426",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER NO",
"identifier": "353077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0800476",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0974549",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.