Jonathan Smith, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

22065 Issued in AL

Legal business name

JONATHAN SMITH, M.D., P.C.

Practice address

2002 Hand Ave
Bay Minette, AL 36507

Phone

(251) 580-4243

Fax

(251) 580-4189

NPI assigned

Aug 1, 2009

Organization subpart

No

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

Authorized official

Name

Jonathan K Smith, MDNPI 1255394177

Title

President

Phone

(251) 580-4243

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan K. Smith, M. D.

  • Surgery Physician
  • New Brunswick, NJ
  • NPI 1255394177
  NPD Authorized official

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

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1194956664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365071627",
            "telephone_number": "251-580-4243",
            "fax_number": "251-580-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "36507",
            "telephone_number": "251-580-4243",
            "fax_number": "251-580-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN SMITH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-01",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-580-4243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "22065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51049680",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113549",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonya James, M.D
• Lindsey Neidhardt Jenkins, PHARMD
• Katie Joffe, PA-C
• Jennifer Johnson, SLP
• Jonathan Denton DMD PC
• Kayla Jordan
• Mary Kercher
• Deanna M Kinslow, CHES, RDN, LDN
• Micchael Gordon Kirchoff, RPH
• Gary E Kolb, DO

• Surgery Physician in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.