Individual
JIMMY SHAUN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 ROSE STREET, G100 GILL HEART INSTITUTE, LEXINGTON, KY 40536
(859) 323-0295
(859) 323-1256
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-4925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02968
KY
207R00000X
Internal Medicine Physician
TP048
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
02968
KY
207RP1001X
Pulmonary Disease Physician
02968
KY
207RP1001X
Pulmonary Disease Physician
34009306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201032990
—
IN
05
—
64121767
—
KY
05
—
PENDING
—
OH
Enumeration date
05/16/2006
Last updated
01/22/2021
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