Organization Active NPI

Christopher Anthony Smith, MD, LLC

  • Internal Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1114338340
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHRISTOPHER ANTHONY SMITH, MD, LLC
Practice address
616 E Altamonte Dr Ste 204
Altamonte Springs, FL 32701-4810
Phone
(727) 459-3235
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Dr. Christopher A Smith, M.D.NPI 1790064863
Title
Ceo
Phone
(347) 257-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

616 E Altamonte Dr Ste 204
Altamonte Springs, FL 32701-4810

Mailing address

14837 Ellingsworth LN
Winter Garden, FL 34787-5673
Phone (347) 257-7788

Other identifiers 1

IdentifierTypeStateIssuer
009152500MedicaidFL

Other names 1

  • Florida Lymphedema and Wound Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140731001295 FL Part B Supplier - Clinic/Group Practice 7618193491 Receives reassigned benefits from 3 practitioners
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Locations

8297 Champions Gate Blvd
Champions Gate, FL 33896
Phone (206) 588-5251

15204 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 654-2640

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1114338340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14837 ELLINGSWORTH LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875673",
            "telephone_number": "347-257-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E ALTAMONTE DR STE 204",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014810",
            "telephone_number": "727-459-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER ANTHONY SMITH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-257-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009152500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Lymphedema and Wound Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.