Individual provider Active NPI

Michael J Smith, MD

  • Emergency Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1033131289
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.MD.61421759 Issued in WA
Practice address
362 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4492
Phone
(301) 728-6527
Fax
(207) 843-0874
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.MD.61421759 WA Primary
Emergency Medicine Physician 207P00000X 59571 KY
Family Medicine Physician 207Q00000X 15747 ME

Addresses

Primary practice location

362 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4492

Mailing address

PO Box 1227
Holden, ME 04429-1227
Phone (301) 728-6527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, KY, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210412000166 TX Practitioner - Emergency Medicine 9931186137 Reassigns benefits to 1 organization
I20211223001339 AZ Practitioner - Emergency MedicinePractitioner - Family Practice 9931186137 Reassigns benefits to 5 organizations
I20241024002244 KY Practitioner - Family Practice 9931186137 Reassigns benefits to 3 organizations
I20250317003348 WA Practitioner - Emergency Medicine 9931186137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olney Emergency Group, a Professional LLCGroup PAC ID 8426399965, 20 clinicians

Practice addresses (Care Compare)

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59571KYMDEmergency Medicine Physician
15747MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 30, 2023 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince Feb 10, 2025 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Aug 10, 2024 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine CurrentSince Feb 10, 2025 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Sep 18, 2024 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 16, 2025 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Nes Arizona Inc Emergency Medicine Current Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Mar 30, 2025 Accepting new patients
Phoenix Emergency Physicians LLC Emergency Medicine CurrentSince Nov 4, 2023 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Dec 28, 2021 Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Mar 22, 2025 Accepting new patients
Tri-State Memorial Hospital Family Medicine Past Accepting new patients
Washington Hospital Emergency Medicine Past Accepting new patients
Penobscot Valley Hospital Past Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients
Health Access Network, Inc. Past Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

200 Corporate Blvd
Lafayette, LA 70508

7300 State Highway 121
Ste 374
McKinney, TX 75070

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1033131289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "HOLDEN",
            "state": "ME",
            "postal_code": "044291227",
            "telephone_number": "301-728-6527",
            "fax_number": "207-843-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614492",
            "telephone_number": "301-728-6527",
            "fax_number": "207-843-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD.MD.61421759",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "59571",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "15747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.