Vernon Taylor Smith, M.D.
Individual provider Active NPI Specialist · Lake City, CO
NPI 1073959136 · NPPES record last updated May 16, 2013
Key facts
- NPI
- 1073959136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 19183 (CO)
- Practice address
- 2537 Elk Road
Lake City, CO 81235 - Phone
- (970) 901-7231
- NPI assigned
- May 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9672 | TX | MD | Specialist |
| 19183 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Health System | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19183 | CO | Yes |
| Specialist | 174400000X | D9672 | TX |
Addresses
Primary practice location
2537 Elk Road
Lake City, CO 81235
Mailing address
2537 Elk Road
Lake City, CO 81235
Phone (970) 901-7231
Other providers in Lake City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.