Mary Elizabeth Wilcox Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E0151 Issued in TX

Practice address

2921 Fairmount St
Dallas, TX 75201-1456

Phone

(214) 742-9310

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairmount Center, P.a.

  • Clinic/Center
  • Dallas, TX
  • NPI 1417041278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013029628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 FAIRMOUNT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011456",
            "telephone_number": "214-742-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 FAIRMOUNT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011456",
            "telephone_number": "214-742-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "ELIZABETH WILCOX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2000-110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79603",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "009S58",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Beth Smith, OTR/LCDC
• Marcia Jean Smith, PT
• Margaret Smith, PHD, LMFTA
• Marija Smith, LMT
• Mark A Smith, PA-C
• Mary M Smith, L.P.C.
• Mary Magdalene Smith, M.A.
• Mary Rochelle Smith, MD
• Matthew Gregory Smith, DDS
• McKenzie Lee Smith, RDN

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.