Individual provider Active NPI

Christopher David Smith, D.O.

  • Emergency Medicine Physician
  • Danville, PA
National Provider Identifier
1720406838
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS018934 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822
Phone
(570) 271-6211
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS018934 PA
Student in an Organized Health Care Education/Training Program 390200000X PA
Emergency Medicine Physician 207P00000X OS018934 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

100 N Academy Ave
Danville, PA 17822
Phone (570) 271-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170804001451 VA Practitioner - Emergency Medicine 1658675038 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wildwood Emergency Group, LLCGroup PAC ID 4789932385, 35 clinicians

Practice addresses (Care Compare)

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.05 of 100Reported as group
Quality
94.52
Improvement activities
40
Cost
88.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS018934PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Jun 27, 2018 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Nov 3, 2018 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2018 Accepting new patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Jun 29, 2018 Accepting new patients

Locations

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 5

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 1

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1720406838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17822",
            "telephone_number": "570-271-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "17822",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS018934",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS018934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.