Thomas Ballenger Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15286 Issued in NE

Practice address

516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216

Phone

(308) 995-4431

Fax

(308) 995-3247

NPI assigned

Jun 21, 2006

Last updated

Jun 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomassmith@pmhc.medalliesdirect.net

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.

• Holdrege Medical Clinic, P.C.

  dba Family Medical Specialties

  • Internal Medicine Physician
  • Holdrege, NE
  • NPI 1427089010
  Medicare reassignment NPD
• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936
  NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1902842610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE",
            "address_2": "STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491216",
            "telephone_number": "308-995-4431",
            "fax_number": "308-995-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE",
            "address_2": "STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491216",
            "telephone_number": "308-995-4431",
            "fax_number": "308-995-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "BALLENGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "15286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon J Smith, DPT
• Jill R Smith, DDS
• Kayla C Smith
• Shane Michael Smith, M.D.
• Susanne M Smith
• Debra Smolik, PHARMD
• Abbie Rae Soneson, RN
• South Central Behavioral Services
• South Central Behavioral Services
• Krista Marie Stoecker, M.D.

• Internal Medicine Physician in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.