Individual provider Active NPI

Harry Jerome Smith, MD

  • Medical Oncology Physician
  • Port Arthur, TX
National Provider Identifier
1861433542
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
K1065 Issued in TX
Practice address
8333 9TH Ave
Ste: G
Port Arthur, TX 77462-8151
Phone
(409) 729-8088
Fax
(409) 729-8089
NPI assigned
Jun 10, 2006
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X K1065 TX
Medical Oncology Physician 207RX0202X K1065 TX Primary

Addresses

Primary practice location

8333 9TH Ave
Ste: G
Port Arthur, TX 77462-8151

Mailing address

1115 Main Street
Pleasant View, TN 37146-8136
Phone (615) 746-4711

Other identifiers 2

IdentifierTypeStateIssuer
E76494OtherTXUPIN
122250702MedicaidTX

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
I20060830000471 TX Practitioner - Medical Oncology 2062416266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Wright State University Boonshoft School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

8333 9TH Ave
Suite G
Port Arthur, TX 77642-8151
Phone (409) 729-8088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1065TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Apr 3, 2017 Accepting new patients
Baptist Hospitals of Southeast Texas PastSince Oct 10, 2011 Accepting new patients
South Nassau Oncology, PC Past Accepting new patients
Texas Oncology PA Hematology & Oncology Past Accepting new patients

Locations

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

310 N 11th St
Beaumont, TX 77702
Phone (409) 212-5510

3180 College St
Beaumont, TX 77701
Phone (409) 212-5922

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3555 Stagg Dr
Fl 1
Beaumont, TX 77701

8333 9th Ave
Port Arthur, TX 77642
Phone (409) 718-8713

8333 9th Ave
Ste G
Port Arthur, TX 77642
Phone (409) 729-8088

Interoperability endpoints

  • Direct secure messaging: hsmith@bhset.direct.varian.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1861433542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MAIN STREET",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468136",
            "telephone_number": "615-746-4711",
            "fax_number": "615-296-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 9TH AVE",
            "address_2": "STE: G",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "774628151",
            "telephone_number": "409-729-8088",
            "fax_number": "409-729-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HARRY",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "K1065",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "K1065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E76494",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122250702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.