Philip C. Smith, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

48315 Issued in FL

Practice address

699 W Cocoa BCH Cswy
Suite 203
Cocoa Beach, FL 32931

Phone

(321) 799-7123

NPI assigned

May 24, 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 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Nextgen Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockledge, FL
  • NPI 1649998824
  NPD
• Nextgen Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Sebastian, FL
  • NPI 1760242960
  NPD
• Pandya & Nime MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockledge, FL
  • NPI 1932175502
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1366497620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PONCE DE LEON BLVD",
            "address_2": "4TH FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346010",
            "telephone_number": "305-702-5135",
            "fax_number": "305-441-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BCH CSWY",
            "address_2": "SUITE 203",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-799-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILIP",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "48315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053226600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseann Judith Simone
• Javier Simons, DDS
• Kristin Widick Smallwood, M.D.
• Smile Enhancing Solutions
• Adrienne L Smith, APRN
• Wayne Lee Smith, BCHIS
• Stephanie Smolski
• Patrick R. Sonser, MD
• John Sorgenfrei, DMD
• Space Coast Emergency Physicians PLC

• Anatomic Pathology & Clinical Pathology Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.