Individual provider Active NPI

Jeffrey B Smith, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tarpon Springs, FL
National Provider Identifier
1689735383
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME61414 Issued in FL
Practice address
1395 S Pinellas Ave
Helen Ellis Memorial Hospital
Tarpon Springs, FL 34689-3790
Phone
(727) 942-5113
NPI assigned
Dec 13, 2006
Last updated
Apr 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X ME61414 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME61414 FL Primary

Addresses

Primary practice location

1395 S Pinellas Ave
Helen Ellis Memorial Hospital
Tarpon Springs, FL 34689-3790

Mailing address

PO Box 6647
Ozona, FL 34660-6647
Phone (727) 942-5075

Other identifiers 1

IdentifierTypeStateIssuer
254487300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000638 FL Practitioner - Pathology 2961467980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruffolo Hooper and Associates MD PAGroup PAC ID 1355324658, 44 clinicians

Practice addresses (Care Compare)

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (813) 886-8334

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Mease Hospital Inc CurrentSince Apr 1, 2010 Accepting new patients
Advanced Gastroenterology Associates LLC CurrentSince Apr 1, 2010 Accepting new patients
Ruffolo Hooper & Associates MD PA Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2017 Accepting new patients

Locations

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

13685 Doctors Way
Ste 330
Fort Myers, FL 33912
Phone (239) 224-3501

34041 US Highway 19 N
Ste A
Palm Harbor, FL 34684
Phone (727) 771-8770

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

5755 Hoover Blvd
Tampa, FL 33634

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1689735383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6647",
            "city": "OZONA",
            "state": "FL",
            "postal_code": "346606647",
            "telephone_number": "727-942-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S PINELLAS AVE",
            "address_2": "HELEN ELLIS MEMORIAL HOSPITAL",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893790",
            "telephone_number": "727-942-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME61414",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME61414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254487300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.