Active NPI
Susan E Smith, MD
- Hematology & Oncology Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 45611
- Practice address
- 3011 East Barnett Rd
Medford, OR 97504-8301 - Phone
- (541) 789-4673
- Fax
- (541) 789-5678
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD38769 | TN | |
| Hematology & Oncology Physician | 207RH0003X | 45611 | CO | Primary |
Addresses
Primary practice location
3011 East Barnett Rd
Medford, OR 97504-8301
Mailing address
PO Box 4749
Medford, OR 97501-0227
Phone (970) 385-7977
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3339463 | Medicaid | TN | |
| 3339462 | Medicaid | TN | |
| 15559297 | Medicaid | CO | |
| 517659 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of New Mexico School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000
Hospital & facility affiliations
- Accentcare Home Health of Rogue Valley, LLC
- Asante Hospice
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
- Fairchild Medical Center
- Asante Ashland Community Hospital
- Providence Medford Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45611 | CO | MD | Hematology & Oncology Physician |
| MD38769 | TN | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Three Rivers Medical Center, LLC | Current | Accepting new patients | |
| Asante | Current | Accepting new patients | |
| Asante | Current | Accepting new patients | |
| Durango Cancer Center PC | Past | Accepting new patients |
Locations
3011 E Barnett Rd
Medford, OR 97504
Phone (541) 789-4673
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Specialty Pharmacy
- Medford, OR
- NPI 1699426684
-
- Radiation Oncology Physician
- Durango, CO
- NPI 1407861263
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- Community Based Hospice Care Agency
- Medford, OR
- NPI 1558498279
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1164519922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4749",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010227",
"telephone_number": "970-385-7977",
"fax_number": "970-385-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 EAST BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048301",
"telephone_number": "541-789-4673",
"fax_number": "541-789-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TN",
"license": "MD38769",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "45611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3339463",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3339462",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15559297",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "517659",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.