Wendel J Smith, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MD00036712 Issued in WA

Practice address

3015 N 33Rd St
Tacoma, WA 98407-6420

Phone

(253) 759-8500

Fax

(253) 200-0907

NPI assigned

Jun 21, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1043256779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 17TH ST NW",
            "address_2": "UNIT 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092764",
            "telephone_number": "206-669-6610",
            "fax_number": "253-200-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N 33RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076420",
            "telephone_number": "253-759-8500",
            "fax_number": "253-200-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WENDEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD00036712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0191192",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8231649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toby Daniel Smith, PHARMD
• Travis J Smith, PHARMD
• Tyler James Smith, DPT
• Valerie Smith
• Verlynna K Smith, LP00042039
• Yasmin M Smith
• Lian Smithers
• Harry G Smolen, MD
• Smoothcare Home LLC
• John S Smoots, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.