Matthew Smith MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MATTHEW SMITH MD PC

Practice address

1753 W Ridgeway Ave Ste 103a
Waterloo, IA 50701-4521

Phone

(319) 235-3568

Fax

(319) 235-5013

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Matthew SmithNPI 1609876507

Title

MD

Phone

(319) 235-3568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Matthew J Smith, MD

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1609876507
  Medicare reassignment Care Compare group NPD Authorized official
• CHI-Ying Diana Sage, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
  • NPI 1831722370
  Medicare reassignment Care Compare group NPD
• Mark J Louviere, MD

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1003816984
  NPD (past)
• John W Musgrave, MD

  • Family Medicine Physician
  • Cedar Falls, IA
  • NPI 1275533143
  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1154072379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2818",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE STE 103A",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014521",
            "telephone_number": "319-235-3568",
            "fax_number": "319-235-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "319-235-3568"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Martin
• Brittany Elizabeth Martin, BS
• Benjamin L Mason, M.D..
• Matthew J Smith
• Matthew Kettman MD PC
• Phillip Lee Mattox
• Kimberly A. Maxfield, RN
• Ajak Mayen, MD
• Sussan Mbi Ndakor, M.D
• Richard William McAlpin, OD

• Family Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.