Stephen Harkness Smith, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J0271 Issued in TX

Practice address

3180 Executive Dr
Suite 105
San Angelo, TX 76904-6837

Phone

(325) 227-4697

Fax

(325) 227-4759

NPI assigned

Jun 29, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• West Loop Medical Clinic Inc

  • Internal Medicine Physician
  • San Angelo, TX
  • NPI 1124147723
  NPD (past) Authorized official
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1710915822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046837",
            "telephone_number": "325-227-4697",
            "fax_number": "325-227-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046837",
            "telephone_number": "325-227-4697",
            "fax_number": "325-227-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "HARKNESS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8U8637",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134672809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Jo Smith, M.ED., M.ED., L.P.C.
• Maggie Smith
• Nathan E Smith, PA
• Opal L Smith, CNM
• Rosa F Smith, LVN
• Thomas Edward Smith Jr., R.PH.
• W. Truett Smith, PH.D.
• Cevan C Smithson
• Jerrie D Smithwick, ANP
• Marley Jade SMTH

• Internal Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.