NPIMap

Organization Active NPI

Timothy W Smith DO LLC

  • Primary Care Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1447550926
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34004608 Issued in OH
Legal business name
TIMOTHY W SMITH DO LLC
Practice address
289 Northland Blvd
Suite a
Cincinnati, OH 45246-3679
Phone
(513) 742-1777
Fax
(888) 577-7659
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Timothy William Smith, D.O.NPI 1376536433
Title
Sole Owner
Phone
(513) 742-1777

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
Primary Care Clinic/Center 261QP2300X 34004608 OH Primary

Addresses

Primary practice location

289 Northland Blvd
Suite a
Cincinnati, OH 45246-3679

Mailing address

289 Northland Blvd
Suite a
Cincinnati, OH 45246-3679
Phone (513) 742-1777

Other identifiers 2

IdentifierTypeStateIssuer
0713768MedicaidOH
SM0637965OtherOHMEDICARE

National Provider Directory

National Provider Directory

Locations

289 Northland Blvd
Ste A
Cincinnati, OH 45246
Phone (513) 742-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1447550926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 NORTHLAND BLVD",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463679",
            "telephone_number": "513-742-1777",
            "fax_number": "888-577-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 NORTHLAND BLVD",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463679",
            "telephone_number": "513-742-1777",
            "fax_number": "888-577-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W SMITH DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "513-742-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34004608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713768",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SM0637965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.