H Matt Smith MD PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00018280 Issued in WA

Legal business name

H MATT SMITH MD PS

Practice address

401 W 1St Ave
Kennewick, WA 99336-3926

Phone

(509) 585-5500

Fax

(509) 585-4161

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Matthew Smith, MD

Title

Owner

Phone

(509) 585-5500

Specialties & licenses 1

Addresses

Other identifiers 11

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1114065844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 1ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363926",
            "telephone_number": "509-585-5500",
            "fax_number": "509-585-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W 1ST AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363926",
            "telephone_number": "509-585-5500",
            "fax_number": "509-585-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H MATT SMITH MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-585-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH EIP ID",
            "identifier": "00358",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "0801186563",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS OREGON",
            "identifier": "836293000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES ID",
            "identifier": "0161428",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "348362800",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "2089786",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "4531768",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS ID",
            "identifier": "8937316",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658905",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOP ID",
            "identifier": "1266",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE ASURIS ID",
            "identifier": "9250SM",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Guzman
• Jose Guzman
• Victoria Guzman
• Amber Mae Gyles
• H Kirby Skavdahl DDS PS
• Mallory Kate Haberlack
• Johanna Haberling-Mansfield, BS, CDP
• Rayel Marie Hacker
• Mahin T Hackler, REGISTERED NURSE
• Vicki Lynn Hackney, RN

• Family Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.