Individual provider Active NPI

Anthony M Smeglin, M.D.

  • Pulmonary Disease Physician
  • North Adams, MA
National Provider Identifier
1164410122
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
56021 Issued in MA
Practice address
77 Hospital Ave
Ste 300
North Adams, MA 01247-2698
Phone
(413) 664-5959
Fax
(413) 664-5773
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 56021 MA Primary

Addresses

Primary practice location

77 Hospital Ave
Ste 300
North Adams, MA 01247-2698

Mailing address

197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 458-8182

Other identifiers 2

IdentifierTypeStateIssuer
1001682MedicaidVT
3007758MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56021MAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1164410122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672930",
            "telephone_number": "413-458-8182",
            "fax_number": "413-458-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE",
            "address_2": "STE 300",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472698",
            "telephone_number": "413-664-5959",
            "fax_number": "413-664-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEGLIN",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "56021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001682",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007758",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.