Active NPI
William W Smith, M.D.
- Orthopaedic Surgery Physician
- Omaha, NE
National Provider Identifier
1386754380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 12247
- Practice address
- 220 N 89TH St
Suite 101
Omaha, NE 68114-4072 - Phone
- (402) 393-3616
- Fax
- (402) 393-4347
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 12247 | NE | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 31862 | IA |
Addresses
Primary practice location
220 N 89TH St
Suite 101
Omaha, NE 68114-4072
Mailing address
PO Box 30266
Omaha, NE 68103-1366
Phone (402) 341-2197
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025837700 | Medicaid | NE | |
| 1386754380 | Medicaid | IA | |
| NA1516 | Other | NE | MEDICARE, PTAN |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31862 | IA | MD | Orthopaedic Surgery Physician |
| 12247 | NE | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Nebraska Methodist Hospital | Past | Accepting new patients |
Locations
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
220 N 89th St
Ste 101
Omaha, NE 68114
Phone (402) 393-3616
8111 Dodge St
Ste 332
Omaha, NE 68114
Phone (402) 354-5947
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1386754380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30266",
"city": "OMAHA",
"state": "NE",
"postal_code": "681031366",
"telephone_number": "402-341-2197",
"fax_number": "402-341-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N 89TH ST",
"address_2": "SUITE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144072",
"telephone_number": "402-393-3616",
"fax_number": "402-393-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "12247",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "31862",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025837700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386754380",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, PTAN",
"identifier": "NA1516",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.