NPIMap

Individual provider Active NPI

James Michael Smith, MD

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1740218528
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME106958 Issued in FL
Practice address
609 S Willow Ave
Tampa, FL 33606-2685
Phone
(813) 340-1079
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18232 MS
Emergency Medicine Physician 207P00000X ME106958 FL Primary

Addresses

Primary practice location

609 S Willow Ave
Tampa, FL 33606-2685

Mailing address

609 S Willow Ave
Tampa, FL 33606-2685
Phone (813) 340-1079

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)
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

State licenses

LicenseStateTypeSpecialty
18232MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maritime ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Town & Country Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Batesville Emergency Physicians Past Accepting new patients
Memorial of Tampa Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of Mississippi, Inc Emergency Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1740218528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S WILLOW AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062685",
            "telephone_number": "813-340-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S WILLOW AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062685",
            "telephone_number": "813-340-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18232",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME106958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.