Individual provider Active NPI

Joseph Smith, MD

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1679575070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101030257 Issued in VA
Practice address
1751 Erickson Ave
Harrisonburg, VA 22801-8555
Phone
(540) 433-3344
Fax
(540) 433-0031
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101030257 VA Primary

Addresses

Primary practice location

1751 Erickson Ave
Harrisonburg, VA 22801-8555

Mailing address

5722 Gardner LN
Bridgewater, VA 22812-3614
Phone (540) 433-3344

Other identifiers 3

IdentifierTypeStateIssuer
070387OtherVAANTHEM ID#
005674191MedicaidVA
145670OtherVASOUTHERN HEALTH ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101030257VAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jsmith@rockinghamfamilyphysicians.gwaydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679575070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 GARDNER LN",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228123614",
            "telephone_number": "540-433-3344",
            "fax_number": "540-433-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 ERICKSON AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018555",
            "telephone_number": "540-433-3344",
            "fax_number": "540-433-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101030257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID#",
            "identifier": "070387",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005674191",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH ID#",
            "identifier": "145670",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

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