NPIMap

Individual provider Active NPI

Eric D Smith, DO

  • Internal Medicine Physician
  • Clarks Summit, PA
National Provider Identifier
1295736742
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 012156 Issued in PA
Practice address
255 East Grove Street
Clarks Summit, PA 18411-1628
Phone
(570) 209-7878
Fax
(570) 209-7715
NPI assigned
Aug 9, 2005
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS 012156 PA Primary

Addresses

Primary practice location

255 East Grove Street
Clarks Summit, PA 18411-1628

Mailing address

255 East Grove Street
Clarks Summit, PA 18411-1628
Phone (570) 209-7878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esmith@thewrightcenter.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000009 PA Practitioner - Internal Medicine 1850367954 Reassigns benefits to 1 organization
Practice locations: Clarks Summit, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Wright Center Medical GroupGroup PAC ID 6305841230, 38 clinicians

Practice addresses (Care Compare)

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 941-0630

255 E Grove St
Clarks Summit, PA 18411-1628
Phone (570) 209-7878

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 012156PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Community Medical Center Past Accepting new patients
Michael J. Turock and Associates, MD Internal Medicine PastSince Jul 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: esmith@thewrightcenter.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1295736742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EAST GROVE STREET",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111628",
            "telephone_number": "570-209-7878",
            "fax_number": "570-209-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EAST GROVE STREET",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111628",
            "telephone_number": "570-209-7878",
            "fax_number": "570-209-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS 012156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esmith@thewrightcenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "HISP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "501 S Washington Ave Ste 1000",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185053814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.