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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NPI Details

Samuel Vincent Smith, DO is a family medicine in Chillicothe, OH. 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.

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: 11/21/2025

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