Clifton Smith, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

16726 Issued in KY

Practice address

177 Burt Rd
Lexington, KY 40503-2410

Phone

(859) 276-1511

Fax

(859) 276-3373

NPI assigned

Feb 15, 2006

Last updated

Jan 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ky Dermatology & Skin Cancer

  • Specialist
  • London, KY
  • NPI 1659542058

  Dermatology

  NPD Authorized official
• Kentucky Dermatology Obs Lexington

  • Ambulatory Surgical Clinic/Center
  • Lexington, KY
  • NPI 1255463063
  Authorized official Same address or phone
• Kentucky Dermatology Obs London Inc

  • Ambulatory Surgical Clinic/Center
  • Lexington, KY
  • NPI 1336271048
  Authorized official Same address or phone

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1114991296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032410",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032410",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KY",
            "license": "16726",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "16726",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64167265",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Michael Smith, MD
• Charles D Smith, MD
• Chelsie Smith, APRN
• Cherokee Smith
• Cheyenne C Smith, BSN, RN, LMT
• Collin P Smith
• Corey R Smith
• Crystal Smith, LPCA
• Dan Smith
• David Charles Smith, DMD

• Procedural Dermatology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Procedural Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.