J Scott Smith MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K3476 Issued in TX

Legal business name

J SCOTT SMITH MD PA

Practice address

1321 Water's Edge Dr. 1010-4
Granbury, TX 76048

Phone

(817) 598-8120

Fax

(682) 936-4323

NPI assigned

Dec 14, 2010

Last updated

Nov 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey S Smith, MDNPI 1295749877

Title

Owner

Phone

(817) 598-8120

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Jeffrey Scott Smith, MD

  • Orthopaedic Surgery Physician
  • Granbury, TX
  • NPI 1295749877
  Medicare reassignment Authorized official
• Leopold Celiz, PA

  • Physician Assistant
  • Weatherford, TX
  • NPI 1467421479
  NPD (past)
• Michelle Leppert, CRNA, MSA, RN

  • Certified Registered Nurse Anesthetist
  • Harrison, AR
  • NPI 1083163364
  NPD (past)
• Janelle Marie Milstead, DO

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1326431271
  NPD (past)

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1154624195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WATER'S EDGE DR. 1010-4",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-598-8120",
            "fax_number": "682-936-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WATER'S EDGE DR. 1010-4",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-598-8120",
            "fax_number": "682-936-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SCOTT SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-598-8120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AN010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Internal & Pulmonary Granbury
• Cherith Victoria Irizarry, FNP
• Madison Irvine
• Sabrina Ivey
• Oluwakemi Bassey Iwanefun, WHNP
• J&B Inhome Texas Care, LLC (Home Instead Senior Care)
• Jack Jones Hearing Centers, Inc (AudioNova)
• Heath Owen Jackson, DPM
• Laura Long Jackson, SLP
• Penelope Aikin Jackson, M.D.

• Specialist in Granbury, TX
• Providers in Granbury, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.