Jay L Smith, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

35044006 Issued in OH

Practice address

1072 N Main St
Bowling Green Pain Clinic
Bowling Green, OH 43402

Phone

(419) 354-6166

Fax

(419) 354-6756

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Addiction MedicineAlso: Anesthesiology

Education

Ohio State University College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Philio, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1124367545
  Medicare reassignment NPD
• Jay L. Smith MD

  • Pain Medicine (Anesthesiology) Physician
  • Bowling Green, OH
  • NPI 1790967974
  NPD (past) Authorized official
• Philio, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1528124567
  NPD
• Back Care of Toledo, LLC

  • Chiropractor
  • Toledo, OH
  • NPI 1104043389
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1124079009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154632",
            "telephone_number": "419-531-5544",
            "fax_number": "419-531-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N MAIN ST",
            "address_2": "BOWLING GREEN PAIN CLINIC",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-354-6166",
            "fax_number": "419-354-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35044006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0547671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Slovin, ATC
• Catherine Lynne Smith, MC, LPC
• Christine Smith
• Hannah Smith, LPC
• Isabel Smith
• Jennifer Jo Smith, CNP
• Kaitlin M Smith, PC
• Kayla Smith, MSW, LISW-S
• Lauren Smith, PHARMD, RPH
• Mackenzie Smith

• Pain Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.

Verify at the official NPI Registry.