NPIMap

Organization Active NPI

Greg Smith MD LLC

  • Neurology Physician
  • Sellersburg, IN
National Provider Identifier
1184952160
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01033821 Issued in IN
Legal business name
GREG SMITH MD LLC
Practice address
130 Hunter Station Way
Suite 201
Sellersburg, IN 47172-8930
Phone
(812) 248-4789
Fax
(812) 248-4773
NPI assigned
Dec 2, 2009
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Greg Smith, M.D.NPI 1649257866
Title
Owner
Phone
(812) 248-4789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01033821 IN Primary

Addresses

Primary practice location

130 Hunter Station Way
Suite 201
Sellersburg, IN 47172-8930

Mailing address

130 Hunter Station Way
Suite 201
Sellersburg, IN 47172-8930
Phone (812) 248-4789

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1184952160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "address_2": "SUITE 201",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728930",
            "telephone_number": "812-248-4789",
            "fax_number": "812-248-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUNTER STATION WAY",
            "address_2": "SUITE 201",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728930",
            "telephone_number": "812-248-4789",
            "fax_number": "812-248-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG SMITH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-248-4789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01033821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.