David Smith MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

190218 Issued in NY

Legal business name

DAVID SMITH MD

Practice address

9 Elm St
Peru, NY 12972-2812

Phone

(518) 643-7037

Fax

(518) 643-2125

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vikki Laidman, CPC, CCS-P

Title

Billing MGR

Phone

(518) 563-8290

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David W Smith, M.D.

  • Family Medicine Physician
  • Peru, NY
  • NPI 1356313787
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1083862932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "address_2": "9 ELM STREET",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129720599",
            "telephone_number": "518-643-7037",
            "fax_number": "518-643-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ELM ST",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129722812",
            "telephone_number": "518-643-7037",
            "fax_number": "518-643-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SMITH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "LAIDMAN",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "518-563-8290",
        "authorized_official_credential": "CPC, CCS-P"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "190218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consepcion Curry, RN
• Rebecca Lynn Curtis-Hobbs, RN
• Anna Theresa D'Angelo, PHYSICIAN ASSISTANT
• Paige Magdalene Darby, MD
• Alicia Darling-Yu
• Kelly Lee Drollette, NP
• Malissa Dupraw, RN
• Jamie E Ecker
• Maria Ecker
• Ann Lynn Felio, RN

• General Practice Physician in Peru, NY
• Providers in Peru, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.