| Dr Johnathon Quintrell Smith, MD | |
|
2105 E South Blvd, Montgomery, AL 36116-2409 | |
| (334) 288-2100 | |
| Not Available |
| Full Name | Dr Johnathon Quintrell Smith |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 2105 E South Blvd, Montgomery, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205193067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD.34266 (Alabama) | Secondary |
| 207L00000X | Anesthesiology | MD2022-0385 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Regional Medical Center | Las cruces, NM | Hospital |
| Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Las Cruces Hb Medical Services Llc | 8123473600 | 123 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Entity Name | Medstar Medical Group Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnathon Quintrell Smith, MD 115 N Beatty St, Apt 305, Pittsburgh, PA 15206-3056 Ph: (404) 862-7929 | Dr Johnathon Quintrell Smith, MD 2105 E South Blvd, Montgomery, AL 36116-2409 Ph: (334) 288-2100 |
Dr. Francis Boyette, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Dr. Nancy Haring, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Michael James Gormley, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Dr. Susan D. Kreher, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Dr. Jonathan Mac Varner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Ira Martin Kupferberg, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 |