Smith Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

22095 Issued in SC

Legal business name

SMITH PLASTIC SURGERY

Practice address

16 Okatie Center Blvd S Ste 101
Okatie, SC 29909-7535

Phone

(843) 705-8940

Fax

(843) 705-6816

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brendan Edward Smith, MDNPI 1588744957

Title

Owner

Phone

(843) 705-8940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brendan E Smith, M.D.

  • Plastic Surgery Physician
  • Okatie, SC
  • NPI 1588744957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1134462146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097535",
            "telephone_number": "843-705-8940",
            "fax_number": "843-705-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097535",
            "telephone_number": "843-705-8940",
            "fax_number": "843-705-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-705-8940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "22095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Cardiology, PC
• Louis Vincent Scavo, RPH
• Francesca Marie Schoning, DPT
• Richard Seawall, PT
• Barbara Leslie Slemmons, MSW
• Blake C Smith, DPT
• Brendan E Smith, M.D.
• South Carolina Health Service
• South Carolina Health Services
• South Carolina Health Services, Inc.

• Plastic Surgery Physician in Okatie, SC
• Providers in Okatie, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.