Active NPI
Thomas Edwin Smith, MD
- Family Medicine Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K7902
- Practice address
- 200 Canyon Creek Dr
Amarillo, TX 79118-3830 - Phone
- (806) 622-5092
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | K7902 | TX | |
| Emergency Medicine Physician | 207P00000X | K7902 | TX | |
| Family Medicine Physician | 207Q00000X | K7902 | TX | Primary |
Addresses
Primary practice location
200 Canyon Creek Dr
Amarillo, TX 79118-3830
Mailing address
200 Canyon Creek Dr
Amarillo, TX 79118-3830
Phone (806) 622-5092
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8W0362 | Other | TX | BLUE SHIELD |
| 144143803 | Medicaid | TX | |
| 144143805 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K7902 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Truepartners Northwest Emergency Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| JK Sun Valley Healthcare Associates PA | Past | Accepting new patients | |
| Panhandle Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
Locations
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150
1619 S Kentucky St
Ste F600
Amarillo, TX 79102
Phone (806) 373-2200
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
Interoperability endpoints
- tsmith86108@ahs.direct-ci.com
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
- Amarillo, TX
- NPI 1912447319
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Freeport, TX
- NPI 1942790662
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- General Practice Physician
- Brownsville, TX
- NPI 1750317228
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1629020870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1770533168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CANYON CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791183830",
"telephone_number": "806-622-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CANYON CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791183830",
"telephone_number": "806-622-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "THOMAS",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "TX",
"license": "K7902",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K7902",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K7902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8W0362",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144143803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144143805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.