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Deactivated NPI 1134214158 Deactivated / Inactive NPI Male Practitioner

Dr. John S Smith , MD

Pediatrics • Bowling Green, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date May 24, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Smith, MD was a registered Pediatrics practicing in Bowling Green, KY. Throughout an active medical career spanning 12 years, Dr. Smith provided care at the practice location at 1211 ASHLEY CIR until profile deactivation on 2018-05-24.

Practice Location & Contact Primary Location

Practice Address

1211 Ashley Cir

Bowling Green, KY 42104

Telephone 2707828700
Fax 2707828704
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bowling Green, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Bowling Green, KY (910 Statewide)

Telehealth Adoption Rate
7.4% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 16012

A pediatrician 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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1043279987

Doctor of Medicine (M.D.)

NPI 1154469625

Doctor of Medicine (M.D.)

NPI 1255426268

Doctor of Medicine (M.D.)

NPI 1336554369

Doctor of Medicine (M.D.)

Makenzie Varner , APRN

Nurse Practitioner - Family

NPI 1407704497

Advanced Practice Registered Nurse

NPI 1518052539

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 24, 2018

Record deactivated on May 24, 2018

NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 14, 2015

Registered at 1211 ASHLEY CIR, BOWLING GREEN, KY 42104 (Tel: 2707828700)

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Updated Business Mailing Address July 14, 2015

Registered at 201 PARK ST, BOWLING GREEN, KY 421011759 (Tel: 2707828700)

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Provider Name / Credentials Updated July 14, 2015

Recorded as JOHN SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Pediatrics (License #16012 in KY)

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Initial NPI Registration & Enumeration October 04, 2006

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: 1134214158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 14, 2015
Deactivation Date: May 24, 2018

Mailing Address

201 Park St

Bowling Green, KY 421011759

Phone: 2707828700

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.