DR. ETHAN SETH SMITH MD
NPI 1083463327
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since May 17, 2024PECOS Enrolled
4301 W MARKHAM ST # 634, LITTLE ROCK, AR 72205(501) 686-5545 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ethan Seth Smith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN SETH SMITH MD (NPI 1083463327) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083463327
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ETHAN SETH SMITHCredential: MD
Location Address4301 W MARKHAM ST # 634Little Rock, AR 72205-7101
Mailing Address2989 York LnConway, AR 72034-8372 · (501) 548-8131
Sole ProprietorYes
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
NPI 1083463327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST # 634, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ethan Seth Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Internal Medicine
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083463327, enumerated as an "individual" on May 17, 2024.

The provider is located at 4301 W MARKHAM ST # 634 LITTLE ROCK, AR 72205 and the phone number is (501) 686-5545.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.