NPIMap

Organization Active NPI

Teresa L. Smith, MD, PC

  • Family Medicine Physician
  • Hamilton, IN
National Provider Identifier
1831391663
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057213A Issued in IN
Legal business name
TERESA L. SMITH, MD, PC
Practice address
2500 E Bellefontaine Rd
Hamilton, IN 46742-9352
Phone
(260) 488-2211
Fax
(260) 488-3046
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Teresa Lynn Smith, M.D.NPI 1730149816
Title
President
Phone
(260) 488-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01057213A IN Primary

Addresses

Primary practice location

2500 E Bellefontaine Rd
Hamilton, IN 46742-9352

Mailing address

2500 E Bellefontaine Rd
PO Box 70
Hamilton, IN 46742-9352
Phone (260) 488-2211

Other identifiers 2

IdentifierTypeStateIssuer
200452930AMedicaidIN
15D1019601OtherINCLIA#

Other names 1

  • Hamilton Family Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831391663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BELLEFONTAINE RD",
            "address_2": "PO BOX 70",
            "city": "HAMILTON",
            "state": "IN",
            "postal_code": "467429352",
            "telephone_number": "260-488-2211",
            "fax_number": "260-488-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E BELLEFONTAINE RD",
            "city": "HAMILTON",
            "state": "IN",
            "postal_code": "467429352",
            "telephone_number": "260-488-2211",
            "fax_number": "260-488-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA L. SMITH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-488-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057213A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452930A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "15D1019601",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.