NPIMap

Individual provider Active NPI

Craig M Smith, D.O.

  • Family Medicine Physician
  • North Conway, NH
National Provider Identifier
1689645566
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19095 Issued in NH
Practice address
3073 White Mountain Hwy
North Conway, NH 03860
Phone
(603) 356-5472
Fax
(603) 356-9647
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1888 ME
Family Medicine Physician 207Q00000X 19095 NH Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860

Mailing address

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5472

Other practice location 1

14 Wyonegonic Rd
N Bridgton, ME 04057
Phone (207) 647-9021

Other identifiers 3

IdentifierTypeStateIssuer
010130427MedicaidME
T400494437OtherNHNH MEDICARE B
3095791MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050909000789 ME Practitioner - Family Practice 9335171362 Reassigns benefits to 1 organization
I20180823001596 NH Practitioner - HospitalistPractitioner - Family Practice 9335171362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 2365418993, 79 clinicians

Practice addresses (Care Compare)

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Hospital & facility affiliations

  • Visiting Nurse Home Care&Hospice of Carroll County Home health agency, North Conway, NH, CCN 307020
  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513
  • Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1888MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Aug 1, 2005 Accepting new patients
Memorial Hospital CurrentSince Aug 9, 2018 Accepting new patients
Bridgton Hospital CurrentSince Aug 1, 2005 Accepting new patients
Memorial Hospital Family Medicine CurrentSince Aug 9, 2018 Accepting new patients
Memorial Hospital Current Accepting new patients
El Paso Neurosurgery Center, P.a. PastSince Jul 1, 2003 Accepting new patients
Professional Radiology PLLC Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

14 Wyonegonic Rd
Bridgton, ME 04009
Phone (207) 647-9021

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: csmith235705@direct.mmc.mainehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1689645566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5472",
            "fax_number": "603-356-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-356-5472",
            "fax_number": "603-356-9647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Wyonegonic Rd",
            "address_purpose": "LOCATION",
            "city": "N Bridgton",
            "state": "ME",
            "postal_code": "04057",
            "country_code": "US",
            "telephone_number": "207-647-9021",
            "fax_number": "207-647-5932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1888",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010130427",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICARE B",
            "identifier": "T400494437",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095791",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.