Active NPI
Joel Reed Smith
- Internal Medicine Physician
- Saipan, MP
National Provider Identifier
1679617294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0417
- Practice address
- 1 Lower Navy Hill Road
Common Wealth Health Center
Saipan, MP 96950 - Phone
- (670) 483-0161
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31604 | WA | |
| Internal Medicine Physician | 207R00000X | 0417 | MP | Primary |
Addresses
Primary practice location
1 Lower Navy Hill Road
Common Wealth Health Center
Saipan, MP 96950
Mailing address
16520 Ashworth Avenue North
Shoreline, WA 98133
Phone (206) 542-8498
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0417 | MP | MD | Internal Medicine Physician |
| 31604 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679617294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16520 ASHWORTH AVENUE NORTH",
"city": "SHORELINE",
"state": "WA",
"postal_code": "98133",
"telephone_number": "206-542-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LOWER NAVY HILL ROAD",
"address_2": "COMMON WEALTH HEALTH CENTER",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-483-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOEL",
"middle_name": "REED",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "31604",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MP",
"license": "0417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saipan, MP
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.