Quintin James Smith, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D2599 Issued in TX

Practice address

4012 North Lamar BV
Austin, TX 78756-3714

Phone

(512) 454-3624

Fax

(512) 454-1287

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1598848798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 NORTH LAMAR BV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563714",
            "telephone_number": "512-454-3624",
            "fax_number": "512-454-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 NORTH LAMAR BV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563714",
            "telephone_number": "512-454-3624",
            "fax_number": "512-454-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "QUINTIN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D2599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099351101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Smith
• Nadine Marie Smith, M.S.,CCC
• Pamela Ann Smith, PH.D.
• Patricia Smith, APRN, NP-C
• Preston George Smith, M.D.
• Rachel Smith, M.A., MT-BC
• Rachel Smith
• Rachel Smith
• Rachel Alicia Smith, PA-C
• Rachele Smith, PTA

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.