Active NPI
Harold Clifford Smith III, MD
- Emergency Medicine Physician
- Homer, AK
National Provider Identifier
1366427809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1961
- Practice address
- 4300 Bartlett St
Homer, AK 99603-7005 - Phone
- (907) 235-8101
- Fax
- (907) 235-0877
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1961 | AK | Primary |
Addresses
Primary practice location
4300 Bartlett St
Homer, AK 99603-7005
Mailing address
PO Box 869
Homer, AK 99603-0869
Phone (907) 235-7073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00464955 | Other | AK | MEDICARE RAILROAD |
| MD1961 | Medicaid | AK |
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Peninsula General Hospital Inc. | Current | Accepting new patients | |
| North Star Medical Imaging PLLC | Current | Accepting new patients | |
| Central Peninsula General Hospital Inc | Current | Accepting new patients | |
| Central Peninsula General Hospital, Inc | Current | Accepting new patients |
Locations
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404
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 and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Soldotna, AK
- NPI 1295059921
-
- Rural Acute Care Hospital
- Soldotna, AK
- NPI 1528062429
-
- Gastroenterology Physician
- Soldotna, AK
- NPI 1154194819
-
- Diagnostic Radiology Physician
- Mount Vernon, WA
- NPI 1144489824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1366427809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 869",
"city": "HOMER",
"state": "AK",
"postal_code": "996030869",
"telephone_number": "907-235-7073",
"fax_number": "907-235-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BARTLETT ST",
"city": "HOMER",
"state": "AK",
"postal_code": "996037005",
"telephone_number": "907-235-8101",
"fax_number": "907-235-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HAROLD",
"middle_name": "CLIFFORD",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "1961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00464955",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1961",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.