Alan Richard Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35632 Issued in FL

Practice address

15517 Carrillon Estates Blvd
Tampa, FL 33625-3303

Phone

(813) 963-3681

Fax

(813) 262-2943

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1114086451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15517 CARRILLON ESTATES BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253303",
            "telephone_number": "813-963-3681",
            "fax_number": "813-262-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15517 CARRILLON ESTATES BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253303",
            "telephone_number": "813-963-3681",
            "fax_number": "813-262-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "35632",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "57187",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "14859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Smith Shillingford
• Dawn Smith Walsh, APRN, AGNP, PMHNP-BC
• Pamela Harden Smith-Beatty
• Diana Marie Smith-Scriven, L.C.S.W.
• Sherry Denise Smith-Williams, ARNP
• Aldenceise Smith
• Alexander Smith, LCSW, BCABA
• Alexis Eileen Smith, BEHAVIOR TECHNICIAN
• Alyssa Suzette Smith, BA
• Amanda G Smith, MD

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.