Organization Active NPI

John R Smyer MD PLLC

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1477866721
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOHN R SMYER MD PLLC
Practice address
4213 85TH St
Suite B
Lubbock, TX 79423-1976
Phone
(806) 368-9631
Fax
(806) 368-9633
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. John Robert Smyer, MDNPI 1073579462
Title
Owner
Phone
(806) 368-9631

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4213 85TH St
Suite B
Lubbock, TX 79423-1976

Mailing address

10210 Frankford Ave
Ste 310
Lubbock, TX 79424
Phone (806) 368-9631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100826000713 TX Part B Supplier - Clinic/Group Practice 2466576509 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

10711 Milwaukee Ave
Ste 200
Lubbock, TX 79424
Phone (806) 368-9631

10210 Frankford Ave
Ste 310
Lubbock, TX 79424
Phone (806) 368-9631

4213 85th St
Ste B
Lubbock, TX 79423
Phone (806) 368-9631

Practitioners & affiliated clinicians

Practitioners 3

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": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1477866721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 FRANKFORD AVE",
            "address_2": "STE 310",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-368-9631",
            "fax_number": "806-368-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 85TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231976",
            "telephone_number": "806-368-9631",
            "fax_number": "806-368-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R SMYER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-368-9631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.