Individual provider Active NPI

Thomas Edwin Smith, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1770533168
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7902 Issued in TX
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

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8W0362OtherTXBLUE SHIELD
144143803MedicaidTX
144143805MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021001032 TX Practitioner - Emergency MedicinePractitioner - Family Practice 1759342850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7902TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Aug 17, 2023 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care PA CurrentSince Aug 17, 2023 Accepting new patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince Apr 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.