Gary Drue Smethers, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12724 Issued in AZ

Practice address

3634 7TH Ave Unit 8BC
San Diego, CA 92103-4342

Phone

(602) 908-9190

NPI assigned

Mar 5, 2021

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

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1063007557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 7TH AVE UNIT 8BC",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034342",
            "telephone_number": "602-908-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 7TH AVE UNIT 8BC",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034342",
            "telephone_number": "602-908-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETHERS",
        "first_name": "GARY",
        "middle_name": "DRUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "12724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew S. Smelik, MD
• Erin Smelser
• Danielle Smerdon, OD
• Elisa Melo Da Silva Smerik, LMFT
• Phyllis Smerud
• Smi Imaging Center of San Diego, LLC
• Renee Ingeborg Smilde, M.D.
• Daniel G. Smiley, MD
• Kate Smiley, LCSW
• Kathryn Nicole Smiley, PA-C

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.