Active NPI
Donna Smith, MD
- Gynecologic Oncology Physician
- Phoenix, AZ
National Provider Identifier
1285600635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 46026
- Practice address
- 2222 E Highland Ave
Ste. # 400
Phoenix, AZ 85016-4872 - Phone
- (602) 277-4868
- Fax
- (602) 230-9350
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 36091539 | IL | |
| Gynecologic Oncology Physician | 207VX0201X | 46026 | AZ | Primary |
Addresses
Primary practice location
2222 E Highland Ave
Ste. # 400
Phoenix, AZ 85016-4872
Mailing address
1760 E River Rd
Ste. # 350
Tucson, AZ 85718-5877
Phone (520) 519-7775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 689265 | Medicaid | AZ |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46026 | AZ | MD | Gynecologic Oncology Physician |
| 36091539 | IL | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Associates PC | Gynecologic Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1285600635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E RIVER RD",
"address_2": "STE. # 350",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185877",
"telephone_number": "520-519-7775",
"fax_number": "520-519-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E HIGHLAND AVE",
"address_2": "STE. # 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164872",
"telephone_number": "602-277-4868",
"fax_number": "602-230-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DONNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "IL",
"license": "36091539",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "AZ",
"license": "46026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689265",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.