Individual provider Active NPI

Earl C Smith Jr., M.D.

  • Orthopaedic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1508827007
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D7603 Issued in TX
Practice address
320 S Polk St
Suite 300
Amarillo, TX 79101-1426
Phone
(806) 376-5511
Fax
(806) 376-8953
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D7603 TX Primary

Addresses

Primary practice location

320 S Polk St
Suite 300
Amarillo, TX 79101-1426

Mailing address

320 S Polk St
Suite 300
Amarillo, TX 79101-1426
Phone (806) 376-5511

Other identifiers 1

IdentifierTypeStateIssuer
089587201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131016001157 TX Practitioner - Orthopedic Surgery 4486565470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D7603TXMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: esmith84219@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1508827007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S POLK ST",
            "address_2": "SUITE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791011426",
            "telephone_number": "806-376-5511",
            "fax_number": "806-376-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S POLK ST",
            "address_2": "SUITE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791011426",
            "telephone_number": "806-376-5511",
            "fax_number": "806-376-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EARL",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "D7603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089587201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.