J DOUGLAS SMITH MD
NPI 1770677577
Emergency Medicine in Indianapolis, IN

Q: What is J Smith's NPI number?

The NPI number for J Smith is 1770677577. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Jerry Douglas Smith MD.

Q: What is J Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for J Smith was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2006

2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 802-3140(317) 870-0499 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About J Douglas Smith Md NPPES

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

J DOUGLAS SMITH MD (NPI 1770677577) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Indiana (01036090) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1770677577

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJ DOUGLAS SMITHCredential: MD

Location Address2001 W 86TH STIndianapolis, IN 46260-1902

Mailing Address4685 Reliable PkwyChicago, IL 60686-0001 · (317) 802-3140 · Fax (317) 870-0499

Phone(317) 802-3140

Fax(317) 870-0499

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1770677577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 01036090

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2001 W 86TH ST, Indianapolis, IN 46260

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Other Names 1

Other Name (5)Jerry Douglas Smith Md

Other Identifiers 2

Medicare ID-Type Unspecified037870YIN · Mcare #

Medicare UPINE05603

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.

LILY SNYDER

Student in an Organized Health Care Education/Training Program