Active NPI
William D Smith, MD
- Anesthesiology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 016915
- Practice address
- 2223 Edgemont Ave
Bristol, TN 37620-4726 - Phone
- (423) 646-7472
- NPI assigned
- Jun 30, 2006
- Last updated
- Jan 16, 2024
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 016915 | TN | Primary |
Addresses
Primary practice location
2223 Edgemont Ave
Bristol, TN 37620-4726
Mailing address
2223 Edgemont Ave
Bristol, TN 37620-4726
Phone (423) 646-7472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016915 | TN | MD | Anesthesiology Physician |
| 16915 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Camc Greenbrier Valley Medical Center Inc | Anesthesiology | Current | Accepting new patients |
| Camc Greenbrier Valley Medical Center, Inc. | Current | Accepting new patients | |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Southeastern Pain Management Center, PLLC | Past | Accepting new patients | |
| Camc Greenbrier Valley Medical Center, Inc. | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
3185 W State St
Bristol, TN 37620
Phone (423) 968-4141
350 Blountville Hwy
Ste 108
Bristol, TN 37620
Phone (423) 844-6120
350 Blountville Hwy
Ste 207
Bristol, TN 37620
Phone (423) 968-2772
10415 Wallace Alley St
Kingsport, TN 37663
Phone 4233900451 ext. 00451
400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
1521 Maplewood Ave
Ronceverte, WV 24970
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
-
- Cardiovascular Disease Physician
- Ronceverte, WV
- NPI 1588373872
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
dba CAMC Greenbrier Valley Medical Center Primary Care
- Rural Health Clinic/Center
- Peterstown, WV
- NPI 1588485478
-
- Pain Medicine (Anesthesiology) Physician
- Bristol, TN
- NPI 1326053760
-
dba CAMC GVMC Specialty Clinics
- Optometrist
- Ronceverte, WV
- NPI 1962287722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1205865540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 EDGEMONT AVE",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204726",
"telephone_number": "423-646-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 EDGEMONT AVE",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204726",
"telephone_number": "423-646-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "016915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.