Douglas Smith, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0150 Issued in OH

Practice address

1701 Blue Ave
Zanesville High School
Zanesville, OH 43701

Phone

(740) 588-4012

NPI assigned

Feb 25, 2015

Last updated

Feb 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1750773917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 EAGLES NEST RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018937",
            "telephone_number": "740-453-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BLUE AVE",
            "address_2": "ZANESVILLE HIGH SCHOOL",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-588-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT0150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie M. Smith, CRNP
• Caitlyn Smith, APRN
• Chelsie Lousie Smith
• Cole David Smith, PHARMD, RPH
• Debra R Smith
• Eleea Dannelle Smith, CDCA
• Jessica Dawn Smith
• Michael A Smith I, RPH
• Randall Jay Smith, MA
• Robert Charles Smith, BA, LSW

• Athletic Trainer in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.