NPIMap

Individual provider Active NPI

Kristin Smith, D.O.

  • Emergency Medicine Physician
  • Clarksville, PA
National Provider Identifier
1912022153
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS014061 Issued in PA
Practice address
343 Adamik Rd
Clarksville, PA 15322-7395
Phone
(724) 986-5858
NPI assigned
Mar 20, 2007
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2086 WV
Emergency Medicine Physician 207P00000X OS014061 PA Primary

Addresses

Primary practice location

343 Adamik Rd
Clarksville, PA 15322-7395

Mailing address

343 Adamik Rd
Clarksville, PA 15322-7395
Phone (724) 986-5858

Other names 1

  • Kristin Smith Wolen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000010 PA Practitioner - Emergency Medicine 1951484146 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Nov 7, 2019 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 29, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
Ahn Emergency Group of Canonsburg LTD. Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Jul 29, 2024 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Alexander Spring Emergency Physicians Emergency Medicine Past Accepting new patients
Valley Medical Facilities Inc Emergency Medicine Past Accepting new patients
First Capital Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
SRMC Healthcare Group LLC Emergency Medicine Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1912022153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ADAMIK RD",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153227395",
            "telephone_number": "724-986-5858",
            "fax_number": "724-883-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ADAMIK RD",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153227395",
            "telephone_number": "724-986-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2086",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS014061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WOLEN",
            "middle_name": "SMITH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, PA

Sources for this page

Verify at the official NPI Registry.