Mymd Select

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M0573 Issued in TX

Legal business name

MYMD SELECT

Practice address

3614 N University Dr
Nacogdoches, TX 75965-2539

Phone

(936) 205-9922

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Scott Smith, MDNPI 1275594848

Title

Owner

Phone

(936) 205-9922

Specialties & licenses 1

Addresses

Other names 1

• Jeremy S. Smith, M.D. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Scott Smith, MD

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1275594848
  Authorized official Same address or phone

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1356743595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-205-9922",
            "fax_number": "936-205-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-205-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMD SELECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-205-9922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeremy S. Smith, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catharine Munguia, LCSW
• April Evette Munoz
• Alicia Guajardo Murphy, MD
• Kevin Lee Murphy, PA-C
• Mymd Connect, PLLC
• Jordyn Myska
• N Med
• Nachoniche Properties, LLC (Oak Manor Nursing Home)
• Nacogdoches Cardiac Center, P.a.
• Nacogdoches Cardiac Imaging Center PLLC

• Family Medicine Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.