Edward Huntington Smith Jr., M.A., A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36000056A Issued in IN

Practice address

7001 W 56TH Street
Indianapolis, IN 46254

Phone

(317) 808-5208

Fax

(317) 297-8086

NPI assigned

May 3, 2007

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 Arts

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790997708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 TIMBERBROOK CT.",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "46122",
            "telephone_number": "317-892-3630",
            "fax_number": "317-297-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W 56TH STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "317-808-5208",
            "fax_number": "317-297-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "HUNTINGTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Brock Smith, DO
• Doris Smith
• Douglas B Smith, M.D.
• Dylan Louise Smith, PA-C
• Dylan Randolph Smith, APRN
• Eleanor Smith, PHD
• Elizabeth Smith
• Emily Smith, PHARMD
• Emily Smith, MS, OTR, CBIS
• Emily Pearl Smith

• Athletic Trainer in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.