Organization Active NPI

Keith B Smith MD Inc

  • Ophthalmology Physician
  • Greenville, PA
National Provider Identifier
1841356375
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KEITH B SMITH MD INC
Practice address
408 S Main St
Greenville, PA 16125-1773
Phone
(724) 588-6500
Fax
(724) 588-2554
NPI assigned
Dec 29, 2006
Last updated
Oct 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Kevin G Smith, M.D.NPI 1003895046
Title
Officer
Phone
(724) 588-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

408 S Main St
Greenville, PA 16125-1773

Mailing address

408 S Main St
Greenville, PA 16125-1773
Phone (724) 588-6500

Other names 1

  • GREENVILLE CENTER FOR SIGHT Other name

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

408 S Main St
Greenville, PA 16125
Phone (724) 588-6500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1841356375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251773",
            "telephone_number": "724-588-6500",
            "fax_number": "724-588-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251773",
            "telephone_number": "724-588-6500",
            "fax_number": "724-588-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH B SMITH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "724-588-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENVILLE CENTER FOR SIGHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.