Elizabeth C. Smith, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301067487 Issued in MI

Practice address

5777 West Maple Rd.
Suite 170
West Bloomfield, MI 48322

Phone

(248) 855-0077

Fax

(248) 855-0042

NPI assigned

Jun 12, 2006

Last updated

Jul 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment NPD
• Elizabeth C Smith MD PC

  • Neurology Physician
  • West Bloomfield, MI
  • NPI 1881708477
  Authorized official Same address or phone
• Henry Ford Health System

  • Neurology Physician
  • Detroit, MI
  • NPI 1669533865
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Basic Research and Investigative Neuroscience, PC.

  • Neurology Physician
  • Southfield, MI
  • NPI 1073552410
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1013959113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 WEST MAPLE RD.",
            "address_2": "SUITE 170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-0077",
            "fax_number": "248-855-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 WEST MAPLE RD.",
            "address_2": "SUITE 170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-855-0077",
            "fax_number": "248-855-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301067487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11289153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Smale
• Justin Thomas Smedes-Hepler, PA-C
• Smith & Smith Consulting LLC (Smith & Smith Counseling)
• Christine Karen Smith
• Dana Lachelle Smith, MHSA
• Erin D Smith, CRNA
• Joshua S. Smith, M.D.
• Justin Joshua Smith, PA-C
• Kristina Smith, COTA/L
• Makenna Noreen Smith

• Neurology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.