Melissa Smith, D.O., PSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

02943 Issued in KY

Legal business name

MELISSA SMITH, D.O., PSC

Practice address

2222 Winchester Ave Ste C
Ashland, KY 41101-7847

Phone

(606) 325-8364

Fax

(606) 327-8893

NPI assigned

Oct 30, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Smith, D.O.

Title

President

Phone

(606) 325-8364

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912186636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WINCHESTER AVE STE C",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017847",
            "telephone_number": "606-325-8364",
            "fax_number": "606-327-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WINCHESTER AVE STE C",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017847",
            "telephone_number": "606-325-8364",
            "fax_number": "606-327-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA SMITH, D.O., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-325-8364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "02943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "02943",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.