Individual provider Active NPI

Stephen R Smith, MD

  • Orthopaedic Surgery Physician
  • Norfolk, NE
National Provider Identifier
1417965997
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
19894 Issued in NE
Practice address
301 North 27TH Street
Suite 1
Norfolk, NE 68701-4457
Phone
(402) 844-8000
Fax
(402) 844-8047
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 19894 NE Primary

Addresses

Primary practice location

301 North 27TH Street
Suite 1
Norfolk, NE 68701-4457

Mailing address

301 North 27TH Street
Suite 1
Norfolk, NE 68701-4457
Phone (402) 844-8000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Point Laboratory LLC CurrentSince Aug 25, 2019 Accepting new patients

Locations

3901 W Norfolk Ave
Ste D
Norfolk, NE 68701
Phone (402) 844-8000

301 N 27th St
Ste 1
Norfolk, NE 68701
Phone (402) 844-8000

Organizations & group practices 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1417965997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTH 27TH STREET",
            "address_2": "SUITE 1",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH 27TH STREET",
            "address_2": "SUITE 1",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "19894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.