Jeff Smith, CPO

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1637 Issued in DE

Practice address

2800 Saint Leo St
Greensboro, NC 27405-3382

Phone

(336) 621-9500

Fax

(336) 621-0980

NPI assigned

Aug 15, 2007

Last updated

Jul 24, 2008By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1679765531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SAINT LEO ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053382",
            "telephone_number": "336-621-9500",
            "fax_number": "336-621-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SAINT LEO ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053382",
            "telephone_number": "336-621-9500",
            "fax_number": "336-621-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFF",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "DE",
            "license": "1637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fowler Richards Smith, NP
• Gregory E. Smith, MD
• Henry W. B. Smith III, M.D.
• Ilysia Smith, RBT
• Jasmine R Smith, LCSWA
• Jennifer Pizzicara Smith, CRNA
• John Randolph Smith, M.D.
• Jordan D Smith, PHARMD.
• Joshua Christian Smith, AGACNP
• Joy Victoria Smith

• Prosthetics Case Management in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.