Organization Active NPI

Michael L. Smith, M.D., P.a.

  • Cardiovascular Disease Physician
  • Beaumont, TX
National Provider Identifier
1235474834
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MICHAEL L. SMITH, M.D., P.A.
Practice address
3345 Plaza 10 Dr
Suite E
Beaumont, TX 77707-2554
Phone
(409) 838-2626
Fax
(409) 838-1980
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Michael L Smith, M.D.
Title
President
Phone
(409) 838-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3345 Plaza 10 Dr
Suite E
Beaumont, TX 77707-2554

Mailing address

3345 Plaza 10 Dr
Suite E
Beaumont, TX 77707-2554
Phone (409) 838-2626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1235474834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. SMITH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-838-2626",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.