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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
Phone(501) 686-5545
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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.

JAGDEEP KAUR
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
TREVOR MEECE MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
MARINA JOSEPH
Internal Medicine
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
MU'NES ALBADAINEH MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 313-9501
DR. SAI NIKHILA GHANTA MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
HADEEL KHALED OTHMAN AL FARES
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
DR. TANMAY PIYUSH GANDHI MBBS
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
LEONARD FERDMAN
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Smith's NPI number?

The NPI number for Ethan Smith is 1083463327. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Ethan Smith located?

Ethan Smith practices at 4301 W Markham St # 634, Little Rock, AR 72205. The listed phone number is (501) 686-5545.

What is Ethan Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Smith enrolled in Medicare?

Yes. Ethan Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Smith was last updated on May 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.