Serena Smith MD FP Professional

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41212 Issued in CO

Legal business name

SERENA SMITH MD FP PROFESSIONAL

Practice address

311 Palmer Street
Delta, CO 81416

Phone

(970) 874-4473

Fax

(970) 874-8681

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Serena L Smith, MDNPI 1578654562

Title

Owner

Phone

(970) 874-4473

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serena Smith, M.D.

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1578654562
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1023220787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PALMER STREET",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-874-4473",
            "fax_number": "970-874-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PALMER STREET",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-874-4473",
            "fax_number": "970-874-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA SMITH MD FP PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-874-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92127282",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanne Marcia Schmidt, PTA
• Eric W Schmidt, MD
• Jennifer Schnoes, LAC
• Emma Elaine Sell, LCSW
• Scott Eddy Semones, NP
• Paul Joseph Sheya, M.D.
• Susan M Simianer, MA
• Carey B Simon, CRNA
• John Christian Sinclair, M.D.
• Elizabeth Ashley Singleton, P.A.-C

• Family Medicine Physician in Delta, CO
• Providers in Delta, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.