Mark Allan Smith, M.D., PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MARK ALLAN SMITH, M.D., PC

Practice address

800 Shades Creek Pkwy Ste 300
Birmingham, AL 35209-4544

Phone

(515) 421-7565

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mark Allan Smith, MDNPI 1710088752

Title

Ceo

Phone

(760) 275-8204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A. Smith, M.D.

  • Vascular Surgery Physician
  • Orange, CA
  • NPI 1710088752
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1104654284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SHADES CREEK PKWY STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SHADES CREEK PKWY STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094544",
            "telephone_number": "515-421-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ALLAN SMITH, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-275-8204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Armando Marin Tamayo, MD
• Melissa Morris Marine, PMHNP
• Amanda Marinello
• Emma Marino
• April Marizette
• Mark King, DMD, LLC
• Phyllis B Mark, PSYD
• Victor Mark
• James Markert
• Leslie Baker Markham, CRNA

• Diagnostic Radiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.