Organization Active NPI

Robert J. Smoloski, M.D., P.a.

  • Family Medicine Physician
  • Easton, MD
National Provider Identifier
1114965530
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0057859 Issued in MD
Legal business name
ROBERT J. SMOLOSKI, M.D., P.A.
Practice address
609B Dutchmans LN
Easton, MD 21601-3345
Phone
(410) 770-8865
Fax
(410) 770-8869
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Robert Smoloski, MD
Title
Owner
Phone
(410) 770-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0057859 MD Primary

Addresses

Primary practice location

609B Dutchmans LN
Easton, MD 21601-3345

Mailing address

609 Dutchmans LN Ste B
Easton, MD 21601-3348
Phone (410) 770-8865

Other identifiers 2

IdentifierTypeStateIssuer
G878-0001OtherMDBCBS - MD - FED
KER4ROOtherMDBCBS - MD - TRAD

National Provider Directory

National Provider Directory

Locations

609 Dutchmans Ln
Ste B
Easton, MD 21601
Phone (410) 770-8865

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1114965530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 DUTCHMANS LN STE B",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013348",
            "telephone_number": "410-770-8865",
            "fax_number": "410-770-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609B DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013345",
            "telephone_number": "410-770-8865",
            "fax_number": "410-770-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. SMOLOSKI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "SMOLOSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-770-8865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MD - FED",
            "identifier": "G878-0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MD - TRAD",
            "identifier": "KER4RO",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.