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JOAN SMITH D.O. P.A. NPI 1558672006


NPI Information

NPI: 1558672006
Provider Name: JOAN SMITH, D.O. P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
31664 OLD OCEAN CITY RD
SALISBURY, MD
ZIP 21804
Phone: (410) 334-3805
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JOAN SMITH, D.O. P.A. is a primary care clinic center in Salisbury, MD. JOAN SMITH, D.O. P.A. NPI is 1558672006. The provider is registered as an organization entity type.

The provider's business location address is:

31664 OLD OCEAN CITY RD
SALISBURY, MD
ZIP 21804-800
Phone: (410) 334-3805
Fax: (410) 860-5191

The provider's authorized official is Joan Smith .
The authorized official title is Physician and has the following contact phone number (410) 334-3805.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 7/13/2010.


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
1261QP2300XClinic/CenterPrimary CareH0048286MARYLANDYes

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
1F68117MEDICARE UPINMARYLAND
2669500100MEDICAIDMARYLAND
3916QOTHERMARYLANDMEDICARE, PTAN

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

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