David W Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1902181 Issued in NY

Practice address

9 Elm St
Peru, NY 12972-2812

Phone

(518) 643-7037

Fax

(518) 643-2125

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• David Smith MD

  • General Practice Physician
  • Peru, NY
  • NPI 1083862932
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1356313787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129720599",
            "telephone_number": "518-643-7037",
            "fax_number": "518-643-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ELM ST",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129722812",
            "telephone_number": "518-643-7037",
            "fax_number": "518-643-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1902181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Rushby, NURSE PRACTITIONER
• Brittany Patinka Saunders, RN
• Shady Grove Farm and Wellness Center
• Lawrence Kenneth Shanley, PHARM. D
• Lawrence Ketrick Shanley, RPH
• Sara Spear, LMHC
• Vicki Sue Tedford, SNT
• Cassidy Rae Thompson
• Kerry Cannon Tolosky, DMD
• Josalin Trombley, LMHC

• Family Medicine Physician in Peru, NY
• Providers in Peru, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.