Active NPI
Donald D Smith, MD
- Critical Care Medicine (Internal Medicine) Physician
- Casper, WY
National Provider Identifier
1457338485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2947A
- Practice address
- 1233 E 2ND St
Casper, WY 82601-2926 - Phone
- (307) 577-7201
- NPI assigned
- Dec 30, 2005
- Last updated
- May 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2947A | WY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2947A | WY | Primary |
| Pulmonary Disease Physician | 207RP1001X | 2947A | WY |
Addresses
Primary practice location
1233 E 2ND St
Casper, WY 82601-2926
Mailing address
1233 E 2ND St
Casper, WY 82601-2926
Phone (307) 577-7201
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101905800 | Medicaid | WY | |
| 290005529 | Other | WY | RR MEDICARE |
| 305615 | Other | WY | BLUE SHIELD |
| P00764855 | Other | WY | RR MCR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2947A | WY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians, Incorporated | Past | Accepting new patients | |
| Casper Thoracic Medicine, LLP | Pulmonary Disease | Past | Accepting new patients |
| Sage Medical Group LLC | Past | Accepting new patients | |
| Wyoming Health Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Pulmonary Disease Physician
- Casper, WY
- NPI 1588691927
-
- Clinic/Center
- Casper, WY
- NPI 1700854346
-
- Internal Medicine Physician
- Casper, WY
- NPI 1730324872
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1457338485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012926",
"telephone_number": "307-577-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012926",
"telephone_number": "307-577-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DONALD",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "2947A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WY",
"license": "2947A",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WY",
"license": "2947A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101905800",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "290005529",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "305615",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00764855",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.