Organization Active NPI

Jerome Smith MD PC

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1679895668
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101035708 Issued in VA
Legal business name
JEROME SMITH MD PC
Practice address
909 Hioaks Rd
Suite B
Richmond, VA 23225-4038
Phone
(804) 276-4266
Fax
(804) 276-5828
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Jerome Glascoe SmithNPI 1720098437
Title
President
Phone
(804) 276-4266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101035708 VA Primary

Addresses

Primary practice location

909 Hioaks Rd
Suite B
Richmond, VA 23225-4038

Mailing address

909 Hioaks Rd
Suite B
Richmond, VA 23225-4038
Phone (804) 276-4266

Other identifiers 1

IdentifierTypeStateIssuer
006046398MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1679895668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HIOAKS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254038",
            "telephone_number": "804-276-4266",
            "fax_number": "804-276-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HIOAKS RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254038",
            "telephone_number": "804-276-4266",
            "fax_number": "804-276-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "GLASCOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-276-4266",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101035708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006046398",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.