Michael Clyde Smith, CRNA

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

31836 Issued in NC

Practice address

68 Hospital Rd
Sylva, NC 28779-2722

Phone

(828) 631-1725

Fax

(828) 586-7449

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1346338951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 DILLS BRANCH RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287797731",
            "telephone_number": "828-586-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HOSPITAL RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792722",
            "telephone_number": "828-631-1725",
            "fax_number": "828-586-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "CLYDE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "31836",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "031836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000180",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000315",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "31836",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRIS RR",
            "identifier": "430078149",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWAIN CRNA",
            "identifier": "235131E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "260293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS CRNA",
            "identifier": "8049940",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWAIN RR",
            "identifier": "430079568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Rae Smith, LCSW
• Charity Elaine Smith, BA
• David Matthew Beaman Smith, MD
• John Rutherfoord Smith Jr., AU.D.
• Kylie Symone Smith, FNP-C
• William Reid Smithdeal, LCSW
• Smoky Mountain Center for MH/DD/Sas
• Smoky Mountain Center for MH/DD/Sas
• Smoky Mountain Center for MH/DD/Sas
• Smoky Mountain Foot Clinic PA

• All providers in Sylva, NC
• General Acute Care Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.