Individual provider Active NPI

Mark Douglas Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1811919285
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H5975 Issued in TX
Practice address
7100 Oakmont Blvd. Ste 108
Fort Worth, TX 76132
Phone
(817) 370-2657
Fax
(817) 370-2186
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H5975 TX Primary

Addresses

Primary practice location

7100 Oakmont Blvd. Ste 108
Fort Worth, TX 76132

Mailing address

7100 Oakmont Blvd. Ste 108
Fort Worth, TX 76132
Phone (817) 370-2657

Other identifiers 1

IdentifierTypeStateIssuer
0986929-02MedicaidTX

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
I20121017000755 TX Practitioner - Obstetrics/Gynecology 5597915165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Jul 17, 2016 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Faron Group PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2015 Accepting new patients
Dudley D Baker IV and Marlon D White MD PA. Obstetrics & Gynecology Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Texas Health Harris Methodist Hospital Southwest Fort Worth Past Accepting new patients

Locations

1001 N Waldrop Dr
Ste 505
Arlington, TX 76012
Phone (817) 277-9415

3801 Gaston Ave
Ste 200
Dallas, TX 75246
Phone (214) 821-8055

7100 Oakmont Blvd
Ste 108
Fort Worth, TX 76132
Phone (817) 370-2657

7100 Oakmont Blvd
Ste 202
Ft Worth, TX 76132
Phone (817) 346-4122

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

6100 Harris Pkwy
Ste 140
Ft Worth, TX 76132
Phone (206) 895-4292

13215 Dotson Rd
Ste 200
Houston, TX 77070
Phone (281) 444-3440

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1811919285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD. STE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-370-2657",
            "fax_number": "817-370-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD. STE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-370-2657",
            "fax_number": "817-370-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H5975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0986929-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.