Active NPI
Ronald D Smith MD PA
- Family Medicine Physician
- Blytheville, AR
National Provider Identifier
1578544227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C4413
- Legal business name
- RONALD D SMITH MD PA
- Practice address
- 527 N 6TH St
Blytheville, AR 72315-2407 - Phone
- (870) 763-4541
- Fax
- (870) 762-2390
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Julia Ann Yankee
- Title
- Office Manager
- Phone
- (870) 763-4541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C4413 | Primary |
Addresses
Primary practice location
527 N 6TH St
Blytheville, AR 72315-2407
Mailing address
527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 763-4541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103451001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Blytheville, AR
- NPI 1275572380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266883200000",
"number": "1578544227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 N 6TH ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152407",
"telephone_number": "870-763-4541",
"fax_number": "870-762-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 N 6TH ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152407",
"telephone_number": "870-763-4541",
"fax_number": "870-762-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD D SMITH MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2010-02-23",
"status": "A",
"authorized_official_last_name": "YANKEE",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "870-763-4541",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": "C4413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103451001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.