Individual provider Active NPI

Jenna B. Dolan Smith, MD

  • Pediatrics Physician
  • Huntington, WV
National Provider Identifier
1598979635
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22714 Issued in WV
Practice address
1600 Medical Center Dr Ste 3500
Huntington, WV 25701-3655
Phone
(304) 691-1300
NPI assigned
May 9, 2007
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22714 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 3500
Huntington, WV 25701-3655

Mailing address

5170 US Route 60 E
Huntington, WV 25705-2065
Phone (304) 399-4422

Other practice location 1

5170 US Route 60 E
Huntington, WV 25705-2065
Phone (304) 399-4422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jenna.dolan@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070713000575 WV Practitioner - Pediatric Medicine 8325148786 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jan 9, 2010 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince May 1, 2025 Accepting new patients
University Physicians & Surgeons, Inc Pediatrics CurrentSince Jan 9, 2010 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

1249 15th St
#4093
Huntington, WV 25701

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • Direct secure messaging: jenna.dolan@marshall.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1598979635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 US ROUTE 60 E",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052065",
            "telephone_number": "304-399-4422",
            "fax_number": "304-399-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 3500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013655",
            "telephone_number": "304-691-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5170 US Route 60 E",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257052065",
            "country_code": "US",
            "telephone_number": "304-399-4422",
            "fax_number": "304-399-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN SMITH",
        "first_name": "JENNA",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "22714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jenna.dolan@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 3500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.