Individual provider Active NPI

John Smythe Rich III, MD

  • Facial Plastic Surgery Physician
  • Columbia, SC
National Provider Identifier
1245204791
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
14870 Issued in SC
Practice address
1711 Richland St
Columbia, SC 29201-2635
Phone
(803) 799-3223
Fax
(803) 933-9460
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 14870 SC
Facial Plastic Surgery Physician 207YS0123X 14870 SC Primary

Addresses

Primary practice location

1711 Richland St
Columbia, SC 29201-2635

Mailing address

1711 Richland St
Columbia, SC 29201-2635
Phone (803) 799-3223

Other identifiers 1

IdentifierTypeStateIssuer
148708MedicaidSC

Other names 1

  • Dr. Smythe Rich Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20031201000029 SC Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 8325943780 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
Medical University of South Carolina College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1711 Richland St
Columbia, SC 29201-2635
Phone (803) 799-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14870SCMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smythe Rich MD PA Otolaryngology CurrentSince Jan 1, 1990 Accepting new patients

Locations

1711 Richland St
Columbia, SC 29201
Phone (803) 799-3223

1711 Richland St
Ste 100
Columbia, SC 29201
Phone (803) 799-3223

Interoperability endpoints

  • Direct secure messaging: jrich380492@direct.musc.edu

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1245204791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-799-3223",
            "fax_number": "803-933-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-799-3223",
            "fax_number": "803-933-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JOHN",
        "middle_name": "SMYTHE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "14870",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "SC",
            "license": "14870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148708",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SMYTHE",
            "last_name": "RICH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.