Individual provider Active NPI

Chadwick Ray Smith, M.D.

  • Emergency Medicine Physician
  • Huntington, WV
National Provider Identifier
1417956657
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21398 Issued in WV
Practice address
2900 1St Ave
Huntington, WV 25702
Phone
(304) 526-1234
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21398 WV
Pediatrics Physician 208000000X 21398 WV
Emergency Medicine Physician 207P00000X 21398 WV Primary

Addresses

Primary practice location

2900 1St Ave
Huntington, WV 25702

Mailing address

PO Box 485
Winfield, WV 25213-0485
Phone (304) 382-3118

Other practice location 1

186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 354-9244

Other practice location 2

3200 MacCorkle Ave SE
Charleston, WV 25304-1297
Phone (304) 388-4172

Other identifiers 5

IdentifierTypeStateIssuer
000720339OtherWVWV BCBS
2691145MedicaidOH
1067482OtherWVWV DWC
1811128-000MedicaidWV
7100001570MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040312000306 WV Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 5395634992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Nov 15, 2014 Accepting new patients
Racine Observation Medical Group, PLLC Emergency Medicine CurrentSince Jun 24, 2017 Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1417956657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252130485",
            "telephone_number": "304-382-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25702",
            "telephone_number": "304-526-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "WV",
            "postal_code": "261477100",
            "country_code": "US",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041297",
            "country_code": "US",
            "telephone_number": "304-388-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHADWICK",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21398",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "21398",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "21398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BCBS",
            "identifier": "000720339",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691145",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DWC",
            "identifier": "1067482",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811128-000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100001570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.