Active NPI
Robert J. Smoloski, M.D., P.a.
- Family Medicine Physician
- Easton, MD
National Provider Identifier
1114965530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0057859
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G878-0001 | Other | MD | BCBS - MD - FED |
| KER4RO | Other | MD | BCBS - MD - TRAD |
National Provider Directory
National Provider DirectoryLocations
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.