Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shane R Smith, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1538134572

Dr. Shane R Smith, MD is an Otolaryngology in Jonesboro, Arkansas. Graduated from Vanderbilt University School of Medicine in 1997, 29 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
29
Trained at
Vanderbilt University School of Medicine
Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 E Matthews Ave
Jonesboro, AR 72401-3145
Phone: (870) 932-6799
Fax: (870) 932-8423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence E3427 (AR)

Record details

NPI number1538134572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address621 E Matthews Ave, Jonesboro, AR 72401-3145

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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