Eugene S Smith III, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C8207 Issued in AR

Practice address

4300 W Markham St
111B
Little Rock, AR 72205-4024

Phone

(501) 257-5795

Fax

(501) 257-5796

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1891719084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MARKHAM ST",
            "address_2": "111B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MARKHAM ST",
            "address_2": "111B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054024",
            "telephone_number": "501-257-5795",
            "fax_number": "501-257-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EUGENE",
        "middle_name": "S",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C8207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "12035000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee Ann Olivia Smith
• Emily Smith
• Emily Ellen Smith, R.D.
• Erin Smith
• Ethan Seth Smith, MD
• Evelyn Smith, QBHP
• Evyn McGill Smith
• Geneva Smith
• George R Smith, MD
• Gerald P. Smith Jr., MHPP

• Cardiovascular Disease Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Cardiovascular Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.