Thomas J Smith, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

32954 Issued in WI

Practice address

2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300

Phone

(920) 433-9920

Fax

(920) 433-9927

NPI assigned

May 24, 2005

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsmith7697@ewd.direct.hshs.org

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.

• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390
  NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health Generations

  • Clinic/Center
  • Green Bay, WI
  • NPI 1497191951
  NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health Algoma

  • Rural Health Clinic/Center
  • Algoma, WI
  • NPI 1609838473
  NPD
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis

  dba St Vincent Hospital Physician Service Group

  • Internal Medicine Physician
  • Green Bay, WI
  • NPI 1689694911
  NPD
• St. Nicholas Hospital-Sisters of the Third Order of St Francis

  dba Prevea Sheboygan Health Center

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1275799413
  NPD
• Bio-Medical Applications of Wisconsin, Inc.

  dba Fresenius Kidney Care Oconto Falls

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oconto Falls, WI
  • NPI 1033873989
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1649273400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012300",
            "telephone_number": "920-433-9920",
            "fax_number": "920-433-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012300",
            "telephone_number": "920-433-9920",
            "fax_number": "920-433-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "32954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31697800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Smith, A.P.N.P.
• Renee R Smith, CNM,APNP
• Richard Tyler Smith, D.D.S.
• Rodney Lawrence Smith, DC
• Roger P Smith
• Zach Smith
• Christina L Smits, PT
• Erica Smits, PT
• George H Smullen, DDS
• Michael James Smullen, MD

• Nephrology Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.