Active NPI
William David Smith, M.D.
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1174579429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35056190
- Practice address
- 5525 Marie Ave
Cincinnati, OH 45248-3230 - Phone
- (513) 981-5463
- Fax
- (513) 598-2242
- NPI assigned
- May 26, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35056190 | OH | Primary |
Addresses
Primary practice location
5525 Marie Ave
Cincinnati, OH 45248-3230
Mailing address
5525 Marie Ave
Cincinnati, OH 45248-3230
Phone (513) 981-5463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00919624 | Other | OH | MEDICARE RR |
| 0696199 | 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 |
|---|---|---|---|
| 35056190 | OH | MD | Internal Medicine Physician |
Interoperability endpoints
- wsmith26442@direct.bsmhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1174579429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 MARIE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452483230",
"telephone_number": "513-981-5463",
"fax_number": "513-598-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 MARIE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452483230",
"telephone_number": "513-981-5463",
"fax_number": "513-598-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35056190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00919624",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0696199",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.