Individual provider Active NPI

Joseph D Smitherman, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1952606311
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-102737 Issued in AL
Practice address
619 19TH St S
Room - Jt845
Birmingham, AL 35249-1900
Phone
(205) 934-7072
Fax
(205) 975-1248
NPI assigned
Jan 17, 2011
Last updated
Jan 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-102737 AL Primary

Addresses

Primary practice location

619 19TH St S
Room - Jt845
Birmingham, AL 35249-1900

Mailing address

PO Box 11407
Department 1717
Birmingham, AL 35246-1717
Phone (205) 934-7072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110301000611 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022299718 Reassigns benefits to 4 organizations
I20241106003408 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022299718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of East Alabama LLCGroup PAC ID 5395768451, 50 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-102737ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Elite Anesthesia Solutions, LLC CurrentSince Oct 3, 2022 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Jan 1, 2019 Accepting new patients
Ivy Creek Specialty Care Current Accepting new patients
Ivy Creek Specialty Care CurrentSince Nov 1, 2021 Accepting new patients

Locations

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

2421 Brookstone Centre Pkwy
Columbus, GA 31904

2616 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 243-0016

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1952606311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPARTMENT 1717",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461717",
            "telephone_number": "205-934-7072",
            "fax_number": "205-975-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "ROOM - JT845",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-7072",
            "fax_number": "205-975-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERMAN",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-102737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.