NPIMap

Individual provider Active NPI

Evan Smith

  • Orthopaedic Surgery Physician
  • Fairfield, OH
National Provider Identifier
1427478072
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
278163 Issued in MA
Practice address
3050 Mack Rd Ste 200
Fairfield, OH 45014-5375
Phone
(513) 347-9999
Fax
(513) 215-9397
NPI assigned
Apr 22, 2014
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 278163 MA Primary

Addresses

Primary practice location

3050 Mack Rd Ste 200
Fairfield, OH 45014-5375

Mailing address

3050 Mack Rd Ste 200
Fairfield, OH 45014-5375
Phone (513) 347-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824003187 OH Practitioner - Orthopedic Surgery 3779818505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

3050 Mack Rd
Suite 200
Fairfield, OH 45014-5375
Phone (513) 347-9999

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement30
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 1, 2022 Accepting new patients
Mercy Health - Fairfield Hospital LLC Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

3050 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-4722

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

8737 Union Centre Blvd
West Chester, OH 45069
Phone (513) 645-2220

Interoperability endpoints

  • Direct secure messaging: esmith1293379@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1427478072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145375",
            "telephone_number": "513-347-9999",
            "fax_number": "513-215-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145375",
            "telephone_number": "513-347-9999",
            "fax_number": "513-215-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "278163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.