Active NPI
Ray C Smith III, M.D.
- Emergency Medicine Physician
- Terre Haute, IN
National Provider Identifier
1720005325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01033441A
- Practice address
- 1606 N 7TH St
Terre Haute, IN 47804-2706 - Phone
- (812) 442-2500
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01033441A | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 4301042616 | MI |
Addresses
Primary practice location
1606 N 7TH St
Terre Haute, IN 47804-2706
Mailing address
250 N Shadeland Ave
Suite 130 - Provider Enrollment
Indianapolis, IN 46219-4959
Phone (317) 547-5345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100388340 | Medicaid | IN | |
| 930040138 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033441A | IN | MD | Emergency Medicine Physician |
| 4301042616 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connorsville Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| River Crossing Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Midwest Medical Management, P.C. | Emergency Medicine | Past | Accepting new patients |
| Reddy Pop Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| County Seat Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Connersville, IN
- NPI 1225394919
-
- Emergency Medicine Physician
- Frankfort, IN
- NPI 1437197159
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1417996430
-
- Emergency Medicine Physician
- Brazil, IN
- NPI 1922233592
-
- Emergency Medicine Physician
- Rushville, IN
- NPI 1215175294
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1720005325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 130 - PROVIDER ENROLLMENT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-547-5345",
"fax_number": "317-962-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042706",
"telephone_number": "812-442-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RAY",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01033441A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301042616",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100388340",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930040138",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.