Active NPI
Robert J Smyth, MD
- Facial Plastic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1184722589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 37770
- Practice address
- 2859 Boudinot Avenue
Suite 302
Cincinnati, OH 45238 - Phone
- (513) 244-2900
- Fax
- (513) 321-0700
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 37770 | OH | Primary |
Addresses
Primary practice location
2859 Boudinot Avenue
Suite 302
Cincinnati, OH 45238
Mailing address
2730 Observatory Avenue
Cincinnati, OH 45208-2108
Phone (513) 321-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31-1080786 | Other | OH | TAX ID # |
| 0428531 | 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 |
|---|---|---|---|
| 37770 | OH | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1184722589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 OBSERVATORY AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082108",
"telephone_number": "513-321-2211",
"fax_number": "513-321-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 BOUDINOT AVENUE",
"address_2": "SUITE 302",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45238",
"telephone_number": "513-244-2900",
"fax_number": "513-321-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "OH",
"license": "37770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "31-1080786",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428531",
"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 May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.