Active NPI
Michael J Smith, MD
- Emergency Medicine Physician
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.MD.61421759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59571 | KY | MD | Emergency Medicine Physician |
| 15747 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Vista Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| Washington Emergency Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Emergency Medicine | Current | Accepting new patients |
| Washington Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Green Valley Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Phoenix Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Exceptional Physicians Group Arizona PLLC | Current | Accepting new patients | |
| Olney Emergency Group, a Professional LLC | Emergency Medicine | Current | 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
- https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Toppenish, WA
- NPI 1386108868
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
-
- Pain Clinic/Center
- Henderson, KY
- NPI 1780249060
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1164642963
-
- Emergency Medicine Physician
- Benson, AZ
- NPI 1205217700
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
-
- Emergency Medicine Physician
- Kennewick, WA
- NPI 1346586351
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1033816194
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toppenish, WA
- NPI 1851817308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.