Frederick Smith, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0519485 Issued in KS

Practice address

2500 Canterbury Dr
Suite 112
Hays, KS 67601-2247

Phone

(785) 628-8221

Fax

(785) 628-3264

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1932194537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR",
            "address_2": "SUITE 112",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012247",
            "telephone_number": "785-628-8221",
            "fax_number": "785-628-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR",
            "address_2": "SUITE 112",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012247",
            "telephone_number": "785-628-8221",
            "fax_number": "785-628-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "0519485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446890A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446890B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Silva, PTA
• Isabella Irene Skolout, RDN, LD
• Jenna Kennedy Sloan, MD
• Angel M Smith, RN
• Dustin Smith, PHARMD
• Gina Laneece Smith, LCP, LMLP
• Nathan D Smith, M.D.
• Susan Lynn Smith
• Smoky Hill Foundation for Chemical Dependency, Inc.
• Elizabeth Snyder, M.D.

• Physical Medicine & Rehabilitation Physician in Hays, KS
• Providers in Hays, KS by specialty
• Physical Medicine & Rehabilitation Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.