Provider Demographics
NPI:1659639631
Name:SMITHERS, JOEL ADAMS (DO)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ADAMS
Last Name:SMITHERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 COMMONWEALTH BLVD E
Mailing Address - Street 2:STE A
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-2086
Mailing Address - Country:US
Mailing Address - Phone:844-373-7883
Mailing Address - Fax:844-550-7109
Practice Address - Street 1:445 COMMONWEALTH BLVD E
Practice Address - Street 2:STE A
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-2086
Practice Address - Country:US
Practice Address - Phone:276-226-2282
Practice Address - Fax:844-550-7109
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102204264208D00000X, 204D00000X, 261QC1500X, 261Q00000X, 261QM2500X, 261QP3300X, 261QR0800X, 207Q00000X, 207QA0401X, 207QA0505X, 207RA0401X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine