Individual provider Active NPI

Eric Smith, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cincinnati, OH
National Provider Identifier
1639708274
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
W6778 Issued in TX
Practice address
4700 E Galbraith Rd Ste 300a
Cincinnati, OH 45236-2754
Phone
(513) 347-9999
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X W6778 TX Primary

Addresses

Primary practice location

4700 E Galbraith Rd Ste 300a
Cincinnati, OH 45236-2754

Mailing address

4700 E Galbraith Rd Ste 300a
Cincinnati, OH 45236-2754

Other practice location 1

8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220514000159 CA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 4385021260

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Saint Michael Dr
Suite 401
Texarkana, TX 75503-2343

8591 S Broadway Ave
Tyler, TX 75703-5470

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1639708274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD STE 300A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E GALBRAITH RD STE 300A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362754",
            "telephone_number": "513-347-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8591 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035470",
            "country_code": "US",
            "telephone_number": "903-606-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "W6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.