Active NPI
Martin Lindsey Smart, MD
- Family Medicine Physician
- La Pine, OR
National Provider Identifier
1912904202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD27201
- Practice address
- 51600 Huntington Rd
La Pine, OR 97739-8887 - Phone
- (541) 536-3435
- Fax
- (541) 536-8047
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD27201 | OR | Primary |
Addresses
Primary practice location
51600 Huntington Rd
La Pine, OR 97739-8887
Mailing address
PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435
Other practice location 1
111 NW Larch Ave
Redmond, OR 97756-1322
Phone (541) 923-4462
Other practice location 2
1250 SW Veterans Way Ste 120
Redmond, OR 97756-2588
Phone (541) 923-4462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500633387 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma District Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Yuma, CO
- NPI 1629074182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1912904202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3300",
"city": "LA PINE",
"state": "OR",
"postal_code": "977393300",
"telephone_number": "541-536-3435",
"fax_number": "541-536-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51600 HUNTINGTON RD",
"city": "LA PINE",
"state": "OR",
"postal_code": "977398887",
"telephone_number": "541-536-3435",
"fax_number": "541-536-8047"
}
],
"practiceLocations": [
{
"address_1": "111 NW Larch Ave",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977561322",
"country_code": "US",
"telephone_number": "541-923-4462",
"fax_number": "541-526-1541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 SW Veterans Way Ste 120",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977562588",
"country_code": "US",
"telephone_number": "541-923-4462",
"fax_number": "541-383-1883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMART",
"first_name": "MARTIN",
"middle_name": "LINDSEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD27201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500633387",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Pine, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.