Active NPI
Arnold Graham Smith, MD PA
- Specialist
- Jacksonville, FL
National Provider Identifier
1386985307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0039103
- Legal business name
- ARNOLD GRAHAM SMITH, MD PA
- Practice address
- 9191 R G Skinner Pkwy
Suite 103
Jacksonville, FL 32256-9655 - Phone
- (904) 391-6862
- Fax
- (904) 391-1005
- NPI assigned
- Mar 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shannon Goossen
- Title
- Admin/VP
- Phone
- (904) 391-6862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0039103 | FL | Primary |
Addresses
Primary practice location
9191 R G Skinner Pkwy
Suite 103
Jacksonville, FL 32256-9655
Mailing address
9191 R G Skinner Pkwy
Suite 103
Jacksonville, FL 32256-9655
Phone (904) 391-6862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15651 | Other | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
14546 Old St Augustine Rd
Ste 403
Jacksonville, FL 32258
Phone (904) 296-1500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1447474390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367798400000",
"number": "1386985307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 R G SKINNER PKWY",
"address_2": "SUITE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569655",
"telephone_number": "904-391-6862",
"fax_number": "904-391-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 R G SKINNER PKWY",
"address_2": "SUITE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569655",
"telephone_number": "904-391-6862",
"fax_number": "904-391-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARNOLD GRAHAM SMITH, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-15",
"last_updated": "2013-05-06",
"status": "A",
"authorized_official_last_name": "GOOSSEN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "ADMIN/VP",
"authorized_official_telephone_number": "904-391-6862",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0039103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "15651",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.