Active NPI
Timothy Alan Smith, M.D.
- Allergy Physician
- Saginaw, MI
National Provider Identifier
1073590188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 4301025271
- Practice address
- 3210 Hallmark CT
Saginaw, MI 48603-2108 - Phone
- (989) 799-9490
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 4301025271 | MI | Primary |
Addresses
Primary practice location
3210 Hallmark CT
Saginaw, MI 48603-2108
Mailing address
3210 Hallmark CT
Saginaw, MI 48603-2108
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
Interoperability endpoints
- smith.timothy.006.0200042@va.meditab.direct-ci.com
- smith.timothy.004.0200042@va.meditab.direct-ci.com
- smith.timothy.005.0200042@va.meditab.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1073590188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 HALLMARK CT",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 HALLMARK CT",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032108",
"telephone_number": "989-799-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TIMOTHY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "4301025271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.