Active NPI
Carolina Kato Smith, MD
- Anesthesiology Physician
- Longview, WA
National Provider Identifier
1396730545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00049090
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 414-2000
- Fax
- (360) 414-7638
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00049090 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054829 | Medicaid | WA | |
| 104319419 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Eastern Connecticut, P.C | Anesthesiology | Past | Accepting new patients |
| Auburn Anesthesia Associates, Inc. PS | Anesthesiology | Past | Accepting new patients |
| Milford Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- csmith70839@direct.peacehealth.org
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Auburn, WA
- NPI 1861448821
-
- Anesthesiology Physician
- Manchester, CT
- NPI 1730154196
-
- Anesthesiology Physician
- Milford, CT
- NPI 1932152097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1396730545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-414-2000",
"fax_number": "360-414-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-414-2000",
"fax_number": "360-414-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CAROLINA",
"middle_name": "KATO",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00049090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1054829",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104319419",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.