Active NPI
Matthew Wayne Smith, D.O.
- Emergency Medicine Physician
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS16446
- Practice address
- 1395 S Pinellas Ave FL 34689
Tarpon Springs, FL 34689-3790 - Phone
- (727) 942-5000
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS16446 | FL | Primary |
Addresses
Primary practice location
1395 S Pinellas Ave FL 34689
Tarpon Springs, FL 34689-3790
Mailing address
4474 Rockwood Dr
Palm Harbor, FL 34685-3678
Phone (580) 399-9255
Other practice location 1
1500 W El Paso St
Broken Arrow, OK 74012-8345
Phone (580) 399-9255
Other practice location 2
744 W 9th St
Tulsa, OK 74127-9907
Phone (918) 599-5373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.65 of 100
- Quality
- 90.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6257 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
| Tampa Bay Emergency Physicians-Heartland LLC | Single Specialty | Current | Accepting new patients |
Locations
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
Single Specialty
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
Single Specialty
-
- Emergency Medicine Physician
- McAlester, OK
- NPI 1326509407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1891155339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4474 ROCKWOOD DR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853678",
"telephone_number": "580-399-9255",
"fax_number": "844-209-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 S PINELLAS AVE FL 34689",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346893790",
"telephone_number": "727-942-5000"
}
],
"practiceLocations": [
{
"address_1": "1500 W El Paso St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740128345",
"country_code": "US",
"telephone_number": "580-399-9255",
"fax_number": "844-209-9064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "744 W 9th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741279907",
"country_code": "US",
"telephone_number": "918-599-5373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS16446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.