# DR. JOHN MICHAEL SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316971757
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 35067018S | OH | — |
| 208600000X | Surgery Physician | 35492 | KY | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35067018S | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35492 | KY | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 10/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000064644 | ANTHEM | — |
| 05 | — | 0219454 | — | OH |
| 01 | — | 1800135 | UNITEDHEALTHCARE | — |
| 05 | — | 200328230B | — | IN |
| 01 | — | 310804060029 | CARESOURCE | — |
| 05 | — | 64960842 | — | KS |
| 01 | — | 67018 | CHOICE CARE/HUMANA | — |
| 01 | — | 8330 | KY BCBS | — |
| 05 | — | 913231700 | — | FL |