Ekram M Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301088410 Issued in MI

Practice address

208 N Shiawassee St
Owosso, MI 48867-2755

Phone

(989) 723-9796

Fax

(989) 729-4032

NPI assigned

May 22, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Family Medicine

  NPD (past)
• West Shore Health Centers Corporation

  • Rural Health Clinic/Center
  • Onekama, MI
  • NPI 1063625192
  NPD (past)
• West Shore Health Centers Corporation

  • Rural Health Clinic/Center
  • Onekama, MI
  • NPI 1366515611
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1366651457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N SHIAWASSEE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672755",
            "telephone_number": "989-723-9796",
            "fax_number": "989-729-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N SHIAWASSEE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672755",
            "telephone_number": "989-723-9796",
            "fax_number": "989-729-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EKRAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366651457",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Smerdon
• Smile Keepers
• Alexis Marie Smith
• Arlanda Latrice Smith, MSN, WHNP-BC
• Arlene Frances Smith, D.O.
• John Smith
• Kasia Smith
• Kerri Lynn Smith, RD
• Michael Scott Smith, PA-C
• Peyton Smith

• Family Medicine Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.