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Thomas R Smith

  • Male

Medical Specialty

Professional ID

  • NPI: 1124065271
  • PECOS ID: 5092885749
  • Enrollment ID: I20080606000210
  • Credential(MD, DO, DPM):
  • Medical School: Indiana University School Of Medicine
  • Medical School Graduation Year: 1980

Hospital Service

  • Hospital CCN1: 360008
  • Business Name (LBN)1: Southern Ohio Medical Center

Medical Practices

  • Organization Name: Somc Medical Care Foundation, Inc.
  • Group Practice ID assigned by PECOS: 9436061645
  • Number of Group Practice member: 132

Location

  • Address1: 10 Thomas Hollow Rd
  • Address2:
  • City: Lucasville
  • State: Ohio
  • Zip Code: 45648
  • Phone Number: (740)259-5699

Location

  • Address1: 1805 27th St
  • Address2:
  • City: Portsmouth
  • State: Ohio
  • Zip Code: 45662
  • Phone Number: (740)356-8681

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):