Individual provider Active NPI

Ronald English Smith Jr., M.D.

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1871502773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6819 Issued in MT
Practice address
450 Gibner Rd Ste 1
Carlisle Barracks
Carlisle, PA 17013-5086
Phone
(717) 245-3041
Fax
(717) 245-3815
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6819 MT Primary

Addresses

Primary practice location

450 Gibner Rd Ste 1
Carlisle Barracks
Carlisle, PA 17013-5086

Mailing address

813 Gobin Dr
Carlisle, PA 17013-1514
Phone (717) 249-8951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20200309000200 MT Order and Referring Only - Family PracticePractitioner - Family Practice 8022446970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6819MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Reed National Military Med Center Past Accepting new patients

Organizations & group practices 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871502773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 GOBIN DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131514",
            "telephone_number": "717-249-8951",
            "fax_number": "717-245-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIBNER RD STE 1",
            "address_2": "CARLISLE BARRACKS",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170135086",
            "telephone_number": "717-245-3041",
            "fax_number": "717-245-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONALD",
        "middle_name": "ENGLISH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "6819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.