Christopher Matthew Smith, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

43824 Issued in KY

Practice address

13402 Creekview Rd
Prospect, KY 40059-9028

Phone

(502) 619-4131

Fax

(502) 919-9780

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chrsmith@landmarkhealth-direct.org
• Direct secure messaging: christopher.smith.1@29428.direct.athenahealth.com

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.

• Kentuckiana Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1801833140
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1164610101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074202",
            "telephone_number": "502-619-4131",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 CREEKVIEW RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599028",
            "telephone_number": "502-619-4131",
            "fax_number": "502-919-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Christian Church Rd",
            "address_purpose": "LOCATION",
            "city": "Brandenburg",
            "state": "KY",
            "postal_code": "401089512",
            "country_code": "US",
            "telephone_number": "502-619-4131",
            "fax_number": "502-919-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "43824",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01076713A",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "43824",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01076713A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "43824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vedad Seremet, M.D.
• Mitra Shams, MD
• Kellie Sheehy, APRN, NP-C
• Rachel Simms, OTR/L
• Smith Medical and Palliative Care Services, PLLC
• Shannon Nichole Smith
• Eva Maria Snadon, TARGET CASE MANAGEME
• John L Snell III, DO
• Abby Lavelle Staffieri, DMD
• Tammy C Stebbins, M.S., SLP

• General Practice Physician in Prospect, KY
• Providers in Prospect, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.