Spencer David Smith, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036125673 Issued in IL

Practice address

1005 Broadway St
Department of Emergency Medicine
Quincy, IL 62301-2834

Phone

(217) 223-8400

NPI assigned

Jul 5, 2007

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

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Emergency Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Merit-based Incentive Payment System (MIPS)

Final score

88.39 of 100Reported as group

Quality

79.9

Promoting interoperability

99

Improvement activities

40

Cost

82.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Kauai Medical Clinic

  • Multi-Specialty Clinic/Center
  • Lihue, HI
  • NPI 1376596643
  Medicare reassignment Care Compare group NPD
• Kuokoa DME Professional Corporation

  • Primary Care Clinic/Center
  • San Marcos, CA
  • NPI 1649088857
  NPD Authorized official
• Kauai Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Koloa, HI
  • NPI 1871611558
  NPD
• Chickasaw Emergency Group LLC

  • Medical Physician Assistant
  • Houston, MS
  • NPI 1134215478

  Emergency Medicine

  NPD (past)
• Lefleur Emergency Physicians

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1891985420
  NPD (past)
• McLemore Emergency Physicians

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1427007483
  NPD (past)
• Southern Health Corp. of Houston, Inc

  • Rural Health Clinic/Center
  • Houston, MS
  • NPI 1083721732
  NPD (past)

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

• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1346448933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 GREENSPOINTE PKWY",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016505",
            "telephone_number": "769-798-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SPENCER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036125673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakesha Smith, MD
• Laura J Smith, OT
• Miranda Olivia Smith, MD
• Raymond P Smith, MD
• Ryley R Smith, PT, DPT
• Stevi Smith, M.S. CCC-SLP
• Timmy D Smith, PT
• Timothy S Smith, DO
• Brian Robert Snyder, DO
• Kenton W Snyder, CNP

• Emergency Medicine Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.