Individual
DONALD G. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 SIM HODGIN PKWY, RICHMOND, IN 47374
(765) 966-5949
(765) 962-6268
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039281A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211205
ANTHEM
IN
01
—
000000570538
ANTHEM
IN
01
—
00001282187 06
UNITED HEALTHCARE
—
01
—
080177730
RAILROAD MEDICARE
IN
05
—
100385240
—
IN
01
—
3937240002
MEDICARE DMEPOS
IN
01
—
4199405
AETNA
—
01
—
5283
PHYSICIANS HEALTH PLAN
IN
Enumeration date
12/29/2005
Last updated
05/19/2021
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