Organization Active NPI

William O Smith MD

  • Specialist
  • Springfield, OH
National Provider Identifier
1669573515
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35037402S Issued in OH
Legal business name
WILLIAM O SMITH MD
Practice address
2100 Emmanuel Way
Suite a
Springfield, OH 45502-7218
Phone
(937) 399-6619
Fax
(937) 399-3958
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mrs. Claudia J Brewer
Title
Office MGR
Phone
(937) 399-6619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35037402S OH Primary

Addresses

Primary practice location

2100 Emmanuel Way
Suite a
Springfield, OH 45502-7218

Mailing address

2100 Emmanuel Way
Suite a
Springfield, OH 45502-7217

Other identifiers 1

IdentifierTypeStateIssuer
0246264MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1669573515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EMMANUEL WAY",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455027217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EMMANUEL WAY",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455027218",
            "telephone_number": "937-399-6619",
            "fax_number": "937-399-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM O SMITH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "937-399-6619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35037402S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.