Edwin R Smith, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23523 Issued in CO

Practice address

7750 S Broadway
Suite 230
Littleton, CO 80122-2623

Phone

(303) 798-8811

Fax

(303) 798-1233

NPI assigned

Oct 11, 2006

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Surgone, PC

  • Surgery Physician
  • Greenwood Village, CO
  • NPI 1225143407
  NPD
• The Surgery Center at Park Meadows, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Lone Tree, CO
  • NPI 1689649451
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1316035371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST",
            "address_2": "SUITE 350",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102432",
            "telephone_number": "303-957-1310",
            "fax_number": "303-761-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 S BROADWAY",
            "address_2": "SUITE 230",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222623",
            "telephone_number": "303-798-8811",
            "fax_number": "303-798-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "23523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01235233",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiles to You PLLC
• Smith Medical Direct Specialty Care Sugery Center of Denver PC
• Conner Smith, DC
• Cynthia Naseem Ahmed Smith, M.D.
• David Joel Smith, M.A.
• Jaime Nicole Smith, LCSW
• Jennifer Anna Smith, RN
• Jeremy Smith, LPC
• Katelyn Smith
• Kevin James Smith, PHARM D.

• Surgery Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.

Verify at the official NPI Registry.