Michael David Smithers, CRNA, DNAP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

584250 Issued in PA

Practice address

Bayne-Jones Army Community Hospital
1585 Third St
Fort Polk, LA 71459

Phone

(808) 321-2748

NPI assigned

Aug 8, 2017

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

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Island Medical Consultants, LLC

  • Anesthesiology Physician
  • Honolulu, HI
  • NPI 1881965986
  Medicare reassignment NPD

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1164947362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYNE-JONES ARMY COMMUNITY HOSPITAL",
            "address_2": "1585 THIRD STREET",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "808-321-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYNE-JONES ARMY COMMUNITY HOSPITAL",
            "address_2": "1585 THIRD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "808-321-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "31314",
            "country_code": "US",
            "telephone_number": "808-321-2748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-321-2748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "31314",
            "country_code": "US",
            "telephone_number": "808-321-2748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHERS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "CRNA, DNAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "584250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Boozer Simmons, MD
• Garrett Simmons
• Charles Smith, LPC, LAC
• David Glenn Smith, D.D.S.
• Tara Smith, RD, LDN
• Tony Youngchang Song, DMD
• Dennis Michael Sosenko, PA-C
• Soul Fire Nutrition, LLC
• Edward Paul Southern, M.D.
• Bianca Alexis Spence, MS

• Certified Registered Nurse Anesthetist in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.