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Individual
DR. JAMES R SMITH
Active
Individual
DR. JAMES R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01059536
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520163
ANTHEM - CMA
KY
01
—
000023028M
HUMANA - CMA
KY
01
—
087582
SIHO
KY
01
—
0998852
MEDICARE - KY
KY
01
—
196290VVV
MEDICARE - IN
IN
05
—
200847330
—
IN
01
—
2853693000
PASSPORT - ADVTG
KY
01
—
50015452
PASSPORT
KY
01
—
8153595
CIGNA - CMA
KY
01
—
9008078
AETNA - CMA
KY
01
—
P00612412
RR MCR- KY/CMA
KY
Enumeration date
10/20/2006
Last updated
02/27/2014
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