Organization Active NPI

Sma-Deer Lakes, P.C

  • Family Medicine Physician
  • Cheswick, PA
National Provider Identifier
1114950938
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SMA-DEER LAKES, P.C
Practice address
221 Russellton Dorseyville Rd
Cheswick, PA 15024-2004
Phone
(412) 767-5387
Fax
(412) 767-5212
NPI assigned
Jul 7, 2006
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Michael E Chismer, MDNPI 1194786087
Title
President
Phone
(412) 767-5387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

221 Russellton Dorseyville Rd
Cheswick, PA 15024-2004

Mailing address

221 Russellton Dorseyville Rd
Cheswick, PA 15024-2004
Phone (412) 767-5387

Other identifiers 1

IdentifierTypeStateIssuer
01680321MedicaidPA

National Provider Directory

National Provider Directory

Locations

221 Russellton Dorseyville Rd
Cheswick, PA 15024
Phone (412) 767-5387

221 Russellton Dorseyville Rd
Ste A
Cheswick, PA 15024
Phone (412) 767-5387

Practitioners & affiliated clinicians

Practitioners 2

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1114950938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RUSSELLTON DORSEYVILLE RD",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150242004",
            "telephone_number": "412-767-5387",
            "fax_number": "412-767-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUSSELLTON DORSEYVILLE RD",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150242004",
            "telephone_number": "412-767-5387",
            "fax_number": "412-767-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMA-DEER LAKES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "CHISMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-767-5387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01680321",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheswick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.