Eva Marie Smith, M.D., M.P.H.
Individual provider Active NPI Addiction Medicine (Family Medicine) Physician · Hoopa, CA
NPI 1982773099 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1982773099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- License
- CFE42592 (CA)
- Practice address
- 1200 Airport Road
Hoopa, CA 95546 - Phone
- (530) 625-4261
- Fax
- (530) 625-5171
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.88 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 89.61
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050610000602 | CA | Practitioner - Family Practice |
9931194131 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFE42592 | CA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K'Ima:W Medical Center | Current |
Accepting new patients | |
| K'Ima:W Medical Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | CFE42592 | CA | Yes |
| Public Health & General Preventive Medicine Physician | 2083P0901X | CFE42592 | CA |
Addresses
Primary practice location
1200 Airport Road
Hoopa, CA 95546
Mailing address
PO Box 1305
Hoopa, CA 95546-1305
Phone (530) 625-9283
Other providers in Hoopa, CA
- Taushona Lee Anna Moon
- Deborah Carsley Romero
- Aran Ruiz
- Eric Ruiz
- Melissa J Ruiz
- William C Ta
- Evelyn Sachie Takane
- Diane Tracy
- Susan Nilsen Walsh
- Sawar Chalutch Young
All providers in Hoopa, CA · Addiction Medicine (Family Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.