Active NPI
Jason G Smith, APRN
- Certified Registered Nurse Anesthetist
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 071219
- Practice address
- 267 Grant St
Bridgeport, CT 06610-2805 - Phone
- (203) 384-3072
- Fax
- (203) 384-4619
- NPI assigned
- Jul 2, 2009
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 004146 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 071219 | CT | Primary |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
7365 Main St
Suite 310
Stratford, CT 06614-1300
Phone (203) 384-3072
Other practice location 1
256 Seaside Ave
Milford, CT 06460-4602
Phone (475) 882-6824
Other practice location 2
130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004146 | CT | MD | Dental Hygienist |
| 071219 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stamford Anesthesiology Services, PC | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Stamford Anesthesia LLC | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
130 Division St
Derby, CT 06418
Phone (203) 732-1330
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010
30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067
2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (203) 282-4128
32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000
778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400
7365 Main St
Ste 310
Stratford, CT 06614
Phone (203) 384-3174
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Stamford, CT
- NPI 1942622378
-
- Anesthesiology Physician
- Bridgeport, CT
- NPI 1174549257
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Stamford, CT
- NPI 1376608448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366671026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7365 MAIN ST",
"address_2": "SUITE 310",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141300",
"telephone_number": "203-384-3072",
"fax_number": "203-384-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-384-3072",
"fax_number": "203-384-4619"
}
],
"practiceLocations": [
{
"address_1": "256 Seaside Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064604602",
"country_code": "US",
"telephone_number": "475-882-6824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Division St",
"address_purpose": "LOCATION",
"city": "Derby",
"state": "CT",
"postal_code": "064181326",
"country_code": "US",
"telephone_number": "203-735-7421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JASON",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "004146",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "071219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.