Jay L. Smith MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

35-04-4006 Issued in OH

Legal business name

JAY L. SMITH MD

Practice address

1072 N Main St
Bowling Green, OH 43402-1346

Phone

(419) 354-6166

Fax

(419) 354-6756

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay L. Smith, MDNPI 1124079009

Title

Owner

Phone

(419) 354-6166

Specialties & licenses 2

Addresses

Other names 1

• Bowling Green Pain Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay L Smith, MD

  • Pain Medicine Physician
  • Bowling Green, OH
  • NPI 1124079009
  NPD (past) Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1790967974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 N MAIN ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021346",
            "telephone_number": "419-354-6166",
            "fax_number": "419-354-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N MAIN ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021346",
            "telephone_number": "419-354-6166",
            "fax_number": "419-354-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY L. SMITH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-354-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2197",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35-04-4006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowling Green Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timara Christina Jackson
• Cheryl Ann Jacobs, CPNP
• Elayne M Jacoby, C.N.P.
• Mohammed Jallad, FNP
• Zaqariah James, LSW
• John T Archer & Associates Inc
• Amy Johnson, MSW, LSW
• Brooke Johnson
• Jeremy Johnson
• Latoyia Johnson, LMT

• Pain Medicine (Anesthesiology) Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.