Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669453825 Deactivated / Inactive NPI Male Practitioner

Dr. William O Smith , MD

Specialist • Springfield, OH

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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. William Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2005
NPI Deactivation Date December 14, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. William Smith, MD was a registered Specialist practicing in Springfield, OH. Throughout an active medical career spanning 12 years, Dr. Smith provided care at the practice location at 2100 EMMANUEL WAY until profile deactivation on 2017-12-14.

Practice Location & Contact Primary Location

Practice Address

2100 Emmanuel Way
Suite - C

Springfield, OH 455027217

Telephone 9373429455
Fax 9373993958
Associated Practice Facility / Clinic
🏢 Crystal Clear Imaging, Llc Facility NPI 1346220662

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Springfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.7 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Springfield, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35037402S

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Tara Ashworth , MS, NP

Nurse Practitioner

NPI 1609910132

Master of Science, Nurse Practitioner

Dr. Robin Osborn , DO

Radiology - Diagnostic Radiology

NPI 1639175888

Doctor of Osteopathic Medicine (D.O.)

Megan Disher , PA-C

Physician Assistant

NPI 1942697263

Physician Assistant (Certified)

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 December 14, 2017

Record deactivated on December 14, 2017

NPI Profile Active June 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 02, 2008

Registered at 2100 EMMANUEL WAY, SUITE - C, SPRINGFIELD, OH 455027217 (Tel: 9373429455)

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Updated Business Mailing Address June 02, 2008

Registered at 2100 EMMANUEL WAY, SUITE - C, SPRINGFIELD, OH 455027217 (Tel: 9373429455)

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Provider Name / Credentials Updated June 02, 2008

Recorded as WILLIAM SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Specialist (License #35037402S in OH)

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Initial NPI Registration & Enumeration November 07, 2005

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: 1669453825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: June 02, 2008
Deactivation Date: December 14, 2017

Mailing Address

2100 Emmanuel Way, Suite - C

Springfield, OH 455027217

Phone: 9373429455

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.