Individual provider Active NPI

Christopher James Smith, MD

  • Vascular Surgery Physician
  • Medina, OH
National Provider Identifier
1386734101
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.067757 Issued in OH
Practice address
970 E Washington St
Medina, OH 44256-3332
Phone
(330) 721-5700
Fax
(330) 721-5287
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD071027L PA
Vascular Surgery Physician 2086S0129X 35.067757 OH Primary

Addresses

Primary practice location

970 E Washington St
Medina, OH 44256-3332

Mailing address

30278 Woodlyn PL
Westlake, OH 44145-5199
Phone (610) 246-8623

Other identifiers 1

IdentifierTypeStateIssuer
001817679MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20080730000285 OH Practitioner - Vascular SurgeryPractitioner - Family Practice 2567536220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

721 E Milltown Rd
Wooster, OH 44691-1255
Phone (330) 287-4500

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Lutheran Hospital Hospital, Cleveland, OH, CCN 360087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)31
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071027LPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Feb 9, 2022 Accepting new patients
Wooster Clinic, LLC CurrentSince Feb 9, 2022 Accepting new patients
Fairview Hospital Past Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

20455 Lorain Rd
Fairview Park, OH 44126
Phone (440) 333-8600

970 E Washington St
Medina, OH 44256
Phone (330) 723-7246

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: csmith@direct.swgeneral.com

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.

Hospital & facility affiliations 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1386734101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30278 WOODLYN PL",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455199",
            "telephone_number": "610-246-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-721-5700",
            "fax_number": "330-721-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD071027L",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.067757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001817679",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.