NPIMap

Individual provider Active NPI

Jeremy Ray Smola, D.O.

  • Family Medicine Physician
  • Sweetwater, TX
National Provider Identifier
1922053412
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8416 Issued in TX
Practice address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone
(325) 235-8641
Fax
(325) 235-5925
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 H8416 TX
Family Medicine Physician 207Q00000X H8416 TX Primary

Addresses

Primary practice location

201 E Arizona Ave
Sweetwater, TX 79556-7119

Mailing address

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 235-8641

Other identifiers 1

IdentifierTypeStateIssuer
1922053412OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060719000130 TX Practitioner - Family Practice 1951314863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians

Practice addresses (Care Compare)

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 219-6237

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Colorado City, TX, CCN 677000
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Sweetwater Healthcare Center Nursing home, Sweetwater, TX, CCN 455946
  • Sterling Hills Rehabilitation and Healthcare Cente Nursing home, Sweetwater, TX, CCN 455509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Plains Memorial Hospital Emergency Medicine CurrentSince Jan 29, 2017 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 29, 2017 Accepting new patients
Rolling Plains Rural Health Clinic, LLC CurrentSince Mar 18, 2010 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine PastSince Apr 21, 2024 Accepting new patients
Living Resources LLC Past Accepting new patients
Rolling Plains Memorial Hospital Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1922053412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-235-8641",
            "fax_number": "325-235-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-235-8641",
            "fax_number": "325-235-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLA",
        "first_name": "JEREMY",
        "middle_name": "RAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H8416",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922053412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.