Dr. Jeffery M Smith
Orthopaedic Hand Surgeon
304 W Hay St Suite 215
Decatur
, Illinois 62526-6328
Dr. Jeffery M Smith
Orthopaedic Hand Surgeon
304 W Hay St Suite 215
Decatur
, Illinois 62526-6328
(217) 872-5481
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About
Features
Specialties
- Orthopaedic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffery M Smith
- 304 W Hay St Suite 215
- Decatur, IL
- Zip : 62526-6328
- Fax : (217) 872-5481
- Phone : (247) 875-4263
Second Address
- Dr. Jeffery M Smith
- 304 W Hay St Suite 215
- Decatur, IL
- Zip : 62526-6328
- Fax : (217) 872-5481
- Phone : (247) 875-4263
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0106X | Orthopaedic Hand Surgeon | 0360982761 | IL |
National Provider Identifier
| NPI | 1104841188 |
|---|---|
| Provider Name | Dr. Jeffery M Smith |
| First Address | Decatur, IL 62526-6328 |
| Second Address | Decatur, IL 62526-6328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 16/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360982761 | (05) | IL |
| 05832033 | BLUE CROSS BLUE SHIELD (01) | IL |
| 388802 | HEALTHLINK (01) | IL |
| G15179 | (02) | IL |
| P00048412 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.