Individual provider Active NPI

Alison Smith, M.D.

  • Surgery Physician
  • Corte Madera, CA
National Provider Identifier
1346252558
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G54165 Issued in CA
Practice address
770 Tamalpais Dr
Suite 402
Corte Madera, CA 94925-1700
Phone
(415) 927-7900
Fax
(415) 927-7925
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G54165 CA Primary

Addresses

Primary practice location

770 Tamalpais Dr
Suite 402
Corte Madera, CA 94925-1700

Mailing address

555 SE Washington St
PO Box 378
Dallas, OR 97338-2829
Phone (503) 623-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54165CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Surgical Group Surgery PastSince Jul 15, 2002 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1346252558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SE WASHINGTON ST",
            "address_2": "PO BOX 378",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382829",
            "telephone_number": "503-623-7301",
            "fax_number": "503-831-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR",
            "address_2": "SUITE 402",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251700",
            "telephone_number": "415-927-7900",
            "fax_number": "415-927-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G54165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.