Elmore Gordon Smith, M.D.

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

C34603 Issued in CA

Practice address

1122 Coast Village Cir
Santa Barbara, CA 93108-2711

Phone

(805) 565-5650

Fax

(805) 565-5690

NPI assigned

Jun 13, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coast Village Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Santa Barbara, CA
  • NPI 1619900644
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327190400000",
    "number": "1053515908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 COAST VILLAGE CIR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082711",
            "telephone_number": "805-565-5650",
            "fax_number": "805-565-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 COAST VILLAGE CIR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082711",
            "telephone_number": "805-565-5650",
            "fax_number": "805-565-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELMORE",
        "middle_name": "GORDON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "CA",
            "license": "C34603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelynn Smith-Herman, MA MFT
• Amelia K. Smith, COUNSELOR
• Antonia Grace Smith
• Diane Clark Smith, MFT
• Douglas Wayne Smith, D.C.
• Eric W. Smith, MPT
• Erin Smith, MA, AMFT
• Holly Leager Smith, R.N.
• Jaclyn Smith
• Jennifer Christine Smith

• Independent Medical Examiner Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Independent Medical Examiner Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2012; 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.