NPIMap

Organization Active NPI

Smith Lake Urgent Care, LLC

Doing business as Smith Lake Family Medicine

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1447499090
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13090 Issued in AL
Legal business name
SMITH LAKE URGENT CARE, LLC
Doing business as
Smith Lake Family Medicine
Practice address
6610 Curry Hwy
Jasper, AL 35503-5664
Phone
(205) 221-9737
Fax
(205) 221-9738
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Jan Westerman, M.D.NPI 1285674150
Title
Owner
Phone
(205) 221-9737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13090 AL Primary

Addresses

Primary practice location

6610 Curry Hwy
Jasper, AL 35503-5664

Mailing address

1280 Summitt
Jasper, AL 35501-0102
Phone (205) 387-7555

Other names 1

  • Smith Lake Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1447499090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SUMMITT",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355010102",
            "telephone_number": "205-387-7555",
            "fax_number": "205-384-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 CURRY HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035664",
            "telephone_number": "205-221-9737",
            "fax_number": "205-221-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH LAKE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "WESTERMAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-221-9737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Lake Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.