Provider Demographics
NPI:1861487365
Name:BYRON D SMITH MD INC
Entity Type:Organization
Organization Name:BYRON D SMITH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-774-3023
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:73 W MAIN ST
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0110
Mailing Address - Country:US
Mailing Address - Phone:740-774-3023
Mailing Address - Fax:740-774-3043
Practice Address - Street 1:272 HOSPITAL RD
Practice Address - Street 2:ADENA REGIONAL MEDICAL CENTER
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9031
Practice Address - Country:US
Practice Address - Phone:740-779-7657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0866666Medicaid
OH=========0200OtherANTHEM BCBS
OH0866666Medicaid