Individual provider Active NPI

Emmaline J Smith

  • Internal Medicine Physician
  • Canal Winchester, OH
National Provider Identifier
1881533149
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.260503 Issued in OH
Practice address
6777 Bigerton BND
Canal Winchester, OH 43110-1263
Phone
(252) 661-3361
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.260503 OH Primary
Pediatrics Physician 208000000X 57.260503 OH
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6777 Bigerton BND
Canal Winchester, OH 43110-1263

Mailing address

6777 Bigerton BND
Canal Winchester, OH 43110-1263
Phone (252) 661-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260626003923 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2567935810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1881533149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 BIGERTON BND",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101263",
            "telephone_number": "252-661-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 BIGERTON BND",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101263",
            "telephone_number": "252-661-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMMALINE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.260503",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.260503",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.