Zachary Smitheman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A00414 Issued in MD

Practice address

643 Portland St
Baltimore, MD 21230-2248

Phone

(610) 721-8144

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1275949125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 PORTLAND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302248",
            "telephone_number": "610-721-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 PORTLAND ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302248",
            "telephone_number": "610-721-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHEMAN",
        "first_name": "ZACHARY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A00414",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000463",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren J Smith
• Wayne F Smith, PAC
• Yahkeyah Smith
• Zoe Smith
• Zuelisa Smith
• Selaya Smithery
• Ronniesha Smithson
• Tamicka Smithson, LCPC
• Rachel Smolowitz, PH.D.
• Roy Smoot

• Athletic Trainer in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.