DR. GEORGE EDWARD SMITH M.D. NPI 1639177967

NPI Information

NPI: 1639177967
Provider Name: DR. GEORGE EDWARD SMITH, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
800 OAK RIDGE TPKE
SUITE A-200
OAK RIDGE, TN
ZIP 37830
Phone: (865) 483-2299
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DR. George Edward Smith, M.D. is a plastic and reconstructive surgery surgery in Oak Ridge, TN. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. George Edward Smith, M.D. NPI is 1639177967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 OAK RIDGE TPKE
SUITE A-200
OAK RIDGE, TN
ZIP 37830-957
Phone: (865) 483-2299
Fax: (865) 483-0707

The enumeration date for this NPI number is 7/11/2005 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208200000X	Plastic Surgery		MD18955	TENNESSEE	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	MD18955	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3093110	MEDICAID	TENNESSEE
2	5074002	OTHER	TENNESSEE	AETNA PROVIDER #
3	TN010	OTHER	TENNESSEE	JOHN DEERE PROV #
4	G07413	MEDICARE UPIN
5	3093110	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE PROVIDER NUMBER
6	3019173	OTHER	TENNESSEE	BCBS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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