Robert E Smitley, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34006357 Issued in OH

Practice address

6115 Powers Blvd
Ste 204
Parma, OH 44129-5471

Phone

(440) 743-2121

Fax

(440) 743-2122

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1922099357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 MONROE ST NW",
            "address_2": "STE 1A",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446634147",
            "telephone_number": "440-743-2121",
            "fax_number": "440-743-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "STE 204",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295471",
            "telephone_number": "440-743-2121",
            "fax_number": "440-743-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITLEY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34006357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa A Smith, RPH
• Tess Smith
• Tionna Smith
• Tristin Smith
• Vincent Michael Smith, MD
• Trisha Snair, D.O.
• Martha Damaske Snearly, M.D.
• Raymond Snock
• Ruth Ann Snow, CDCA
• Christopher Louis Snyder, LPN

• Psychiatry Physician in Parma, OH
• Providers in Parma, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.