John James Smith, M.D,

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0061101 Issued in MD

Practice address

17 Western Maryland Pkwy
Suite 101
Hagerstown, MD 21740-5146

Phone

(301) 733-1477

Fax

(301) 733-7758

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Med Tel Interantional Corporation

  • Physiological Laboratory
  • Wichita Falls, TX
  • NPI 1639203284
  NPD (past)
• Med Tel International Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Pueblo, CO
  • NPI 1306970017
  NPD (past)
• Med Tel International Corporation

  • Radiology Clinic/Center
  • McLean, VA
  • NPI 1386864312
  NPD (past)
• Med Tel International Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corsicana, TX
  • NPI 1407980030
  NPD (past)
• Med Tel International Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corinth, TX
  • NPI 1588798854
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1942280250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 COLONIAL CT",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091439",
            "telephone_number": "703-448-8800",
            "fax_number": "703-448-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "SUITE 101",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405146",
            "telephone_number": "301-733-1477",
            "fax_number": "301-733-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0061101",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "DR42791",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C10007472",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35084338",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD425084",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001128",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10093112",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000033555",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Jean Smith, PHYSICAL THERAPIST
• Irene Alberta Smith, CAC A&D
• Janet Willa Smith, L. AC.
• Jenna M Smith, FNP
• Jennifer Elizabeth Smith, LMSW
• Laura Elizabeth Smith, LCSWC
• Linda M Smith, RPH, CGP
• Margaret Elise Smith, LCSWC
• Michael D Smith, LCSW-C
• Michelle Smith, LCSWC

• Diagnostic Radiology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.