Stephen Peter Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

197984 Issued in NY

Practice address

3898 Vineyard Dr
Dunkirk, NY 14048-3559

Phone

(716) 363-1515

Fax

(716) 363-7677

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Stephen P Smith, M. D., P. C.

  • Internal Medicine Physician
  • Jesup, GA
  • NPI 1649409772
  NPD (past) Authorized official
• Vitex Healthcare, PC

  • Hospitalist Physician
  • Tucker, GA
  • NPI 1205166717
  NPD
• Tat Sum Lee, M.D.

  • Internal Medicine Physician
  • Dunkirk, NY
  • NPI 1306947072
  NPD (past)
• Hospital Authority of Wayne County Georgia

  • Hospitalist Physician
  • Jesup, GA
  • NPI 1275703985
  NPD (past)
• Hospital Authority of Wayne County Georgia

  • Certified Registered Nurse Anesthetist
  • Jesup, GA
  • NPI 1366506222
  NPD (past)
• Soliant Health

  • Contractor
  • Tucker, GA
  • NPI 1871710723
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1336237783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HOLMES PL",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631214",
            "telephone_number": "716-672-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VINEYARD DR",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140483559",
            "telephone_number": "716-363-1515",
            "fax_number": "716-363-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01534270",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010265802",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD WNY",
            "identifier": "000523505002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0406865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Ann Siracuse, LMSW
• Kristen Marie Siracuse, NP
• Mary Skubis
• Linda Elaine Smegner, REGISTERED NURSE
• Marcia V Smith-Kieffer
• Tara Marie Smith, COTA
• Stephen E Snyder, P.A.
• Susan Ann Soja, DDS
• Jacqueline Solazzo
• Nichole Sommers, PA-C

• Internal Medicine Physician in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.