Individual
DR. JAMES R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11725 N ILLINOIS ST, STE 350, CARMEL, IN 46032-3008
(317) 688-5200
(317) 688-5215
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us