Active NPI
Thomas P Smith, MD
- Hematology (Internal Medicine) Physician
- Gloucester, MA
National Provider Identifier
1285686170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 35482
- Practice address
- 1 Blackburn Dr
Gloucester, MA 01930-2237 - Phone
- (978) 281-1500
- Fax
- (978) 282-3699
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 35482 | MA | Primary |
Addresses
Primary practice location
1 Blackburn Dr
Gloucester, MA 01930-2237
Mailing address
1 Blackburn Dr
Gloucester, MA 01930-2237
Phone (978) 281-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015404 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35482 | MA | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1285686170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BLACKBURN DR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302237",
"telephone_number": "978-281-1500",
"fax_number": "978-282-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BLACKBURN DR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302237",
"telephone_number": "978-281-1500",
"fax_number": "978-282-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MA",
"license": "35482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015404",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.