Talbot Dermatology & Dermatologic Surgery PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TALBOT DERMATOLOGY & DERMATOLOGIC SURGERY PA

Practice address

5 Caulk Lane
Suite 2
Easton, MD 21601

Phone

(410) 822-9890

Fax

(410) 763-9536

NPI assigned

Dec 12, 2006

Last updated

Nov 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David P Smack, MDNPI 1073501912

Title

Owner

Phone

(410) 822-9890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Phillips Smack, MD

  • MOHS-Micrographic Surgery Physician
  • Easton, MD
  • NPI 1073501912

  Dermatology

  Medicare reassignment NPD Authorized official
• Lynn Kathleen Bickley, MD

  • Dermatology Physician
  • Chestertown, MD
  • NPI 1275521114
  Medicare reassignment NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1184785370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CAULK LANE",
            "address_2": "SUITE 2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-822-9890",
            "fax_number": "410-763-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CAULK LANE",
            "address_2": "SUITE 2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-822-9890",
            "fax_number": "410-763-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT DERMATOLOGY & DERMATOLOGIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "SMACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-822-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talbot County Health Department Addictions Program
• Talbot County Health Department Addictions Program
• Talbot County Health Department Addictions Program
• Talbot County Public Schools
• Talbot County Public Schools Infant & Toddler Program
• Talbot Hospice Foundation, Inc (Talbot Hospice)
• Talbot Hospice Foundation, Inc (Talbot Palliative Care)
• Talbot Hospice Foundation, Inc
• Talbot Psychology Alliance
• Talbot Psychology Alliance (Talbot Pediatric Therapy)

• Dermatology Physician in Easton, MD
• Providers in Easton, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.