Active NPI
Lee Vladimir Smyk, MD PA
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1033158423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0051452
- Practice address
- 601 E Rollins Ave
Orlando, FL 32803-1248 - Phone
- (407) 303-6611
- NPI assigned
- Jun 4, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0051452 | FL | Primary |
Addresses
Primary practice location
601 E Rollins Ave
Orlando, FL 32803-1248
Mailing address
PO Box 953908
Lake Mary, FL 32795-3908
Phone (407) 328-0825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046624700 | Medicaid | FL |
Other names 1
- Dr. Ladislav Vladimir Smyk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0051452 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Non Selective Business Systems Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Partners in Womens Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Winter Park, FL
- NPI 1417026303
Obstetrics & Gynecology
-
- Obstetrics Physician
- Orlando, FL
- NPI 1720187123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033158423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 953908",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327953908",
"telephone_number": "407-328-0825",
"fax_number": "407-322-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-303-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYK",
"first_name": "LEE",
"middle_name": "VLADIMIR",
"name_prefix": "Dr.",
"credential": "MD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0051452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046624700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LADISLAV",
"last_name": "SMYK",
"middle_name": "VLADIMIR",
"prefix": "DR.",
"credential": "MD PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- 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.