Ethel Ea Smith, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

35071076S Issued in OH

Practice address

9500 Euclid Ave
RK30
Cleveland, OH 44195-0001

Phone

(216) 636-8742

Fax

(216) 636-7877

NPI assigned

Jun 9, 2006

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Geriatric MedicineAlso: Family Practice, Hospice/Palliative Care

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

King David Aquatic Center LLCGroup PAC ID 3870038714, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
• Elara Caring Home health agency, Mentor, OH, CCN 367173
• Helping U Home Health Care, LLC Home health agency, Beachwood, OH, CCN 369056
• Hospice of the Western Reserve, Inc Hospice, Cleveland, OH, CCN 361503
• Cleveland Clinic Hospice Hospice, Independence, OH, CCN 361554
• Emunah Hospice LLC Hospice, Beachwood, OH, CCN 361558
• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
• Euclid Hospital Hospital, Euclid, OH, CCN 360082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: esmith5106@direct.ccf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• King David Aquatic Center LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Beachwood, OH
  • NPI 1770351306
  Care Compare group
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Foundation Cleveland Clinic Home Care

  • Home Health Agency
  • Independence, OH
  • NPI 1225009442
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  dba South Pointe Hospital

  • General Acute Care Hospital
  • Warrensville Heights, OH
  • NPI 1235183542
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  dba Euclid Hospital

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1598719346
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  dba Hillcrest Hospital

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation
• Cleveland Clinic Home Care Services

  dba Hospice of the Cleveland Clinic

  • Community Based Hospice Care Agency
  • Independence, OH
  • NPI 1598738718
  Care Compare affiliation
• Emunah Hospice LLC

  • Community Based Hospice Care Agency
  • Beachwood, OH
  • NPI 1043091275
  Care Compare affiliation
• Great Lakes Home Health Ohio 2, LLC

  dba Elara Caring

  • Home Health Agency
  • Mentor, OH
  • NPI 1336579887
  Care Compare affiliation
• Helping You Home Health Care LLC

  • Home Health Agency
  • Beachwood, OH
  • NPI 1811247596
  Care Compare affiliation
• Hospice of the Western Reserve, Inc.

  • Pediatric Hospice and Palliative Medicine Physician
  • Cleveland, OH
  • NPI 1255333753
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1184665408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315032",
            "telephone_number": "216-636-8742",
            "fax_number": "216-636-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "RK30",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-636-8742",
            "fax_number": "216-636-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ETHEL",
        "middle_name": "EA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071076",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35071076S",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35071076S",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Smith
• Eric Smith
• Erica Smith
• Erin Smith, LSW
• Ethan John Smith
• Fanta D Smith
• Formeka Smith
• Francine Smith
• Fraser Smith
• Gabriel Alexander Smith, M.D.

• Geriatric Medicine (Family Medicine) Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.