Blaine E Smith, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0021406 Issued in MD

Practice address

8601 Veterans Hwy
Suite 100
Millersville, MD 21108-1547

Phone

(410) 729-4451

Fax

(410) 729-4470

NPI assigned

Aug 23, 2005

Last updated

Feb 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Owings Mills, MD
  • NPI 1932167178
  NPD (past)
• David L Bloom PA

  dba Accesible MRI of Baltimore County

  • Diagnostic Radiology Physician
  • Towson, MD
  • NPI 1336132901
  NPD (past)
• David L Bloom PA

  dba Seabrook Radiological Center

  • Diagnostic Radiology Physician
  • Seabrook, MD
  • NPI 1396738704
  NPD (past)
• DRS Reid Ahmadian and Thompson PA

  • Diagnostic Radiology Physician
  • Frederick, MD
  • NPI 1760419279
  NPD (past)
• Shipley's Imaging, LLC

  • Diagnostic Radiology Physician
  • Millersville, MD
  • NPI 1861476343
  NPD (past)
• University Imaging Specialists

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1508819889
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1134112428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404442",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844442",
            "telephone_number": "804-756-5130",
            "fax_number": "804-672-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY",
            "address_2": "SUITE 100",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081547",
            "telephone_number": "410-729-4451",
            "fax_number": "410-729-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0021406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KC46SH42453901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "38110057",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Simon, R.N.
• Judith Marie Sipes, LCSW C
• Margaret Jeanne Sisk, MSW LCSW C
• Smile RX Dental-Holistic Family Dentistry
• Anna Marie Smith, LCSW-C
• Rebecca L Smith, LAC
• Robert Allen Smith, MD
• Julie Snow
• Bobbie Spann
• Specialized Education of MD, Inc. (High Road School)

• Diagnostic Radiology Physician in Millersville, MD
• Providers in Millersville, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.