Dr. Carl Edwin Smith Jr.
MD | Pediatrics | Male
Dr. Carl Edwin Smith Jr., MD is a Harlan, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Carl Edwin Smith Jr. is
120 Professional Lane, Ste 201, Harlan, Kentucky - 40831-2603. He can be contacted on phone at
606-573-1004 and fax number 606-573-0059.
Dr. Carl Edwin Smith Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Carl Edwin Smith Jr. is
1972583607 which was assigned by NPPES on 19 Jan, 2006 and it was last updated on 30 Nov, 2009.
Dr. Carl Edwin Smith Jr. license number is
24028 for Pediatrics (208000000X) in Kentucky.
Dr. Carl Edwin Smith Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Carl Edwin Smith Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Carl Edwin Smith Jr. |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Carl Edwin Smith Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 120 Professional Lane, Ste 201
Harlan, KY, 40831-2603
United States |
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| Phone Number : | 606-573-1004 |
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| Fax Number : | 606-573-0059 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972583607 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jan, 2006 |
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| Last Updated On : | 30 Nov, 2009 |
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Medicare Participation:
Dr. Carl Edwin Smith Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3375531551 |
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| Medicare Enrollment ID : | I20050727001118 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Kentucky College Of Medicine |
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| Graduation Year : | 1984 |
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| Accepts Medicare? | Yes. Dr. Carl Edwin Smith Jr. accepts medicare insurance. |
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Group Practice Association:
Dr. Carl Edwin Smith Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Carl Edwin Smith Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| | | 120 Professional Ln
Suite 201
Harlan, KY - 408312603
Ph: 6065731004 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carl Edwin Smith Jr. are as mentioned. Primary taxonomy code for Dr. Carl Edwin Smith Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 24028 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carl Edwin Smith Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 31000953 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 120 Professional Lane, Ste 201
Harlan, KY, 40831-2603
United States |
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| Phone Number : | 606-573-1004 |
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| Fax Number : | 606-573-0059 |
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Business Location:
Patients can refer following map for directions to
Dr. Carl Edwin Smith Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.