Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902140536 Individual Practitioner Male Practitioner

Dr. Kevin B Smith , DO

Surgery • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Smith, DO is a registered healthcare professional specializing in Surgery in Jacksonville, FL. Practice services are available at 2080 CHILD STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Child Street

Jacksonville, FL 322145000

Telephone 9045427300

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 20120223206

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Practice Locations

200 West Mercy Circle

Camp Pendleton, CA 92055

Phone: 7607251356

Hospital Americano, Base Naval De Rota, Apartado De Correos 33

Rota, Cadiz 11530

Phone: 3147273742

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ramona Greene

Registered Nurse - Medical-Surgical

NPI 1003458787
Dr. Michelle Coy , DNP

Nurse Anesthetist, Certified Registered

NPI 1003700873

Doctor of Nursing Practice

Debra Wagner , CNM, ARNP

Advanced Practice Midwife

NPI 1013050095

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1033745328

Doctor of Medicine (M.D.)

Patrick Fitzpatrick , RN

Nurse Practitioner - Family

NPI 1043290604

Registered Nurse

Laureano Santiago

Physician Assistant - Medical

NPI 1043896368

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 25, 2024

Registered at 2080 CHILD STREET, JACKSONVILLE, FL 322145000 (Tel: 9045427300)

📍
Updated Business Mailing Address June 25, 2024

Registered at 2080 CHILD STREET, JACKSONVILLE, FL 322145000

📍
Updated Practice Location August 03, 2023

Registered at HOSPITAL AMERICANO, BASE NAVAL DE ROTA, APARTADO DE CORREOS 33, ROTA, CADIZ 11530 (Tel: 3147273742)

📍
Updated Business Mailing Address August 03, 2023

Registered at PSC 819 BOX 18, FPO, AE 096450001

📍
Updated Practice Location April 27, 2021

Registered at 200 WEST MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 7607251356)

NPI Profile Active November 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2012

Registered at 800 W JEFFERSON ST, KIRKSVILLE, MO 635011443 (Tel: 6607851000)

📍
Updated Business Mailing Address November 20, 2012

Registered at 716 W LAHARPE ST, KIRKSVILLE, MO 635011860

👤
Provider Name / Credentials Updated November 20, 2012

Recorded as KEVIN SMITH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2012

Surgery (License #20120223206 in MO)

🟢
Initial NPI Registration & Enumeration November 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902140536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2012
Last Update: June 25, 2024
Sole Proprietor: Yes

Mailing Address

2080 Child Street

Jacksonville, FL 322145000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.