Provider Demographics
NPI:1821074386
Name:SMYTHE, JAMES LEIGHTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEIGHTON
Last Name:SMYTHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 KENYON AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-4213
Mailing Address - Country:US
Mailing Address - Phone:401-783-6670
Mailing Address - Fax:401-789-4990
Practice Address - Street 1:85 KENYON AVE
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-4213
Practice Address - Country:US
Practice Address - Phone:401-783-6670
Practice Address - Fax:401-789-4990
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI6222207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1196OtherNHHP
RI002133OtherBLUE CHIP
RI767625OtherTUFTS
RI9002153Medicaid
RIRI6222OtherSTATE ID#
RI03746OtherPEQUOT PLUS HEALTH
RI3000140OtherUNITED HEALTH CARE
RI03746OtherPEQUOT PLUS HEALTH
RI9002153Medicaid