Individual provider Active NPI

Eric P Smith, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tecumseh, MI
National Provider Identifier
1356389191
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
011267 Issued in MI
Practice address
500 E Pottawatamie St
Tecumseh, MI 49286-2018
Phone
(517) 423-2141
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 011267 MI Primary
Emergency Medicine Physician 207P00000X 5101011267 MI

Addresses

Primary practice location

500 E Pottawatamie St
Tecumseh, MI 49286-2018

Mailing address

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598

Other identifiers 3

IdentifierTypeStateIssuer
4792232MedicaidMI
1356389191MedicaidMI
ES011267OtherMIBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040715000800 MI Practitioner - Family PracticePractitioner - Emergency Medicine 1850370644 Reassigns benefits to 3 organizations
I20220816002806 TN Practitioner - Emergency Medicine 1850370644 Reassigns benefits to 1 organization
I20230823003670 IL Practitioner - Emergency MedicinePractitioner - Family Practice 1850370644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center ClareGroup PAC ID 7012829773, shared by 9 NPIs, 128 clinicians
Concord Company of Tennessee PLLCGroup PAC ID 0345588109, 68 clinicians
Sturgis Hospital IncGroup PAC ID 5395884621, 16 clinicians

Practice addresses (Care Compare)

4851 E Pickard St
Suite 1000
Mt Pleasant, MI 48858-2041
Phone (989) 956-9069

8885 State Rd
Suite 237
Tell City, IN 47586-8567
Phone (812) 547-3447

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 651-7824

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011267MIMDEmergency Medical Services (Emergency Medicine) Physician
4687TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC Emergency Medicine CurrentSince Sep 3, 2023 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Morrison Community Hospital District Current Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Sep 12, 2024 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 26, 2022 Accepting new patients
Sturgis Hospital, Inc. Current Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince Apr 14, 2020 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients
Southwestern Michigan Emergency Services, PC Emergency Medical Services Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1356389191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD",
            "address_2": "SUITE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E POTTAWATAMIE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862018",
            "telephone_number": "517-423-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "011267",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4792232",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356389191",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "ES011267",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.