Smith Internal Medicine Group LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SMITH INTERNAL MEDICINE GROUP LTD

Practice address

100 Highland Ave
Suite 203
Providence, RI 02906-2740

Phone

(401) 521-2002

Fax

(401) 521-0906

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jean F Smith, MD

Title

President Ceo

Phone

(401) 521-2002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245261817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062740",
            "telephone_number": "401-521-2002",
            "fax_number": "401-521-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062740",
            "telephone_number": "401-521-2002",
            "fax_number": "401-521-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH INTERNAL MEDICINE GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "401-521-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004024",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah R Small, RN, BSN
• Jamie Marie Small, RD, LD
• Armani Smalls
• Smgri, PC
• Smith Hill Physical Therapy
• Amanda Smith, NP
• Amanda Beth Smith, MA CCC SLP
• Anne Smith, PA-C
• Asia Smith, LICSW
• Brenda Anne Smith, COTA

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.