Active NPI
Robert Earl Smith, D.P.M.
- Podiatrist
- Salem, OH
National Provider Identifier
1497769871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36.001441
- Practice address
- 1070 E State St
Salem, OH 44460-2200 - Phone
- (330) 332-5911
- Fax
- (330) 332-5979
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.001441 | OH | Primary |
Addresses
Primary practice location
1070 E State St
Salem, OH 44460-2200
Mailing address
2366 Oak St
Salem, OH 44460-2565
Phone (330) 332-1230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048193 | Medicaid | OH |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497769871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2366 OAK ST",
"city": "SALEM",
"state": "OH",
"postal_code": "444602565",
"telephone_number": "330-332-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 E STATE ST",
"city": "SALEM",
"state": "OH",
"postal_code": "444602200",
"telephone_number": "330-332-5911",
"fax_number": "330-332-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"middle_name": "EARL",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36.001441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0048193",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.