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SAMUEL VINCENT SMITH DO NPI 1629078860


NPI Information

NPI: 1629078860
Provider Name: SAMUEL VINCENT SMITH, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
17273 STATE ROUTE 104
CHILLICOTHE VAMC
CHILLICOTHE, OH
ZIP 45601
Phone: (740) 773-1141
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Samuel Vincent Smith, DO is a family medicine in Chillicothe, OH with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Samuel Vincent Smith, DO NPI is 1629078860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:1994

The provider's business location address is:

17273 STATE ROUTE 104
CHILLICOTHE VAMC
CHILLICOTHE, OH
ZIP 45601-718
Phone: (740) 773-1141

The NPI 1629078860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 2/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine200599NEW YORKNo
2207Q00000XFamily Medicine34007141OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12973797MEDICAIDOHIO
2H028112MEDICARE PINOHIO
304V232MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
44270311MEDICARE PINOHIO
5G14135MEDICARE UPINNEW YORK
601609865MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.