Individual provider Active NPI

Henry Garth Smith, DMD MD

  • Plastic and Reconstructive Surgery Physician
  • Madisonville, KY
National Provider Identifier
1235124637
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
41340 Issued in KY
Practice address
1900 N Main St
Madisonville, KY 42431-9443
Phone
(270) 245-2105
Fax
(270) 452-2355
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 22000 WV
Plastic and Reconstructive Surgery Physician 2086S0122X 41340 KY Primary

Addresses

Primary practice location

1900 N Main St
Madisonville, KY 42431-9443

Mailing address

1900 N Main St
Madisonville, KY 42431-9443
Phone (270) 245-2105

Other identifiers 2

IdentifierTypeStateIssuer
7100023940MedicaidKY
000000532699OtherKYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20071023000320 KY Practitioner - Plastic and Reconstructive Surgery 4688609480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 N Main St
Madisonville, KY 42431-9024

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of tissue1-10
Removal of skin lesions1125
Removal or shaving of skin growth25
Skin biopsy116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP529KYMDInternal Medicine Physician
41340KYMDPlastic and Reconstructive Surgery Physician
22000WVMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center, Inc Plastic and Reconstructive Surgery CurrentSince Jan 31, 2013 Accepting new patients
Pathology Associates of Paducah, PSC Past Accepting new patients

Locations

1900 N Main St
Madisonville, KY 42431
Phone (270) 245-2105

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

2915 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-8060

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1235124637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319443",
            "telephone_number": "270-245-2105",
            "fax_number": "270-452-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319443",
            "telephone_number": "270-245-2105",
            "fax_number": "270-452-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HENRY",
        "middle_name": "GARTH",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WV",
            "license": "22000",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "41340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100023940",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000532699",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.