Active NPI
James Edwin Smith III, M.D.
- Diagnostic Radiology Physician
- Honolulu, HI
National Provider Identifier
1447306709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME83851
- Practice address
- 2611 Ala Wai Blvd
1606
Honolulu, HI 96815-3981 - Phone
- (808) 386-5420
- NPI assigned
- Jan 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME83851 | FL | Primary |
Addresses
Primary practice location
2611 Ala Wai Blvd
1606
Honolulu, HI 96815-3981
Mailing address
2611 Ala Wai Blvd
1606
Honolulu, HI 96815-3981
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200949 | Medicaid | WV | |
| 1532037 | Other | WV | UNITED MINE WORKERS PROVI |
| 7216211 | Medicaid | VA | |
| 100286 | Other | WY | FEDERAL BLACK LUNG |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Radiology of Virginia, Inc | Past | Accepting new patients | |
| PCH Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Radiology Clinic/Center
- Bluefield, VA
- NPI 1568449858
-
- Diagnostic Radiology Physician
- Ponca City, OK
- NPI 1588845127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447306709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 ALA WAI BLVD",
"address_2": "1606",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968153981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 ALA WAI BLVD",
"address_2": "1606",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968153981",
"telephone_number": "808-386-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME83851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200949",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS PROVI",
"identifier": "1532037",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7216211",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "100286",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.