# DR. JAMES R SMITH

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

## Provider details

- **NPI number:** 1578645156
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01059536 | IN | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 02/27/2014

## 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 |