NPIMap

Organization Active NPI

Smith Center for Cardiovascular Wellness, P.a.

  • Cardiovascular Disease Physician
  • Greenville, SC
National Provider Identifier
1093033847
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13551 Issued in SC
Legal business name
SMITH CENTER FOR CARDIOVASCULAR WELLNESS, P.A.
Practice address
45 Creekview CT
Greenville, SC 29615-4800
Phone
(864) 234-7474
Fax
(864) 234-0778
NPI assigned
May 4, 2010
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Desmond Ernesto Smith, M.D.
Title
Owner/Operator
Phone
(864) 552-0275

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 13551 SC
Cardiovascular Disease Physician 207RC0000X 13551 SC Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 13551 SC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 13551 SD

Addresses

Primary practice location

45 Creekview CT
Greenville, SC 29615-4800

Mailing address

45 Creekview CT
Greenville, SC 29615-4800
Phone (864) 234-7474

National Provider Directory

National Provider Directory

Locations

45 Creekview Ct
Greenville, SC 29615
Phone (864) 234-7474

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1093033847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-234-7474",
            "fax_number": "864-234-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-234-7474",
            "fax_number": "864-234-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CENTER FOR CARDIOVASCULAR WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "864-552-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "13551",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "13551",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "13551",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SD",
            "license": "13551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.