Active NPI
Paul A Smith, MD
- Internal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00022089
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6600
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00022089 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
1100 9TH Ave
Ms:M4-PA
Seattle, WA 98101-2756
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8640708 | Medicaid | WA | |
| S617 | Other | WA | BLUE SHIELD |
| 0039581 | Other | WA | LABOR & INDUSTRY |
| MD9802 | Other | WA | ALASKA MEDICAID |
| US0899768 | Other | WA | AETNA/USHC PCP |
| 805170100 | Other | WA | IDAHO MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Finance | Current | Accepting new patients | |
| King County Finance | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Internal Medicine | Current | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
14350 SE Eastgate Way
Bellevue, WA 98007
Phone (206) 296-9754
33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400
433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
1100 9th Ave
#4
Seattle, WA 98101
Phone (206) 515-5811
401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975
Interoperability endpoints
- paul.smith@direct.vmmc.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1306903604
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1518593904
-
- Family Medicine Physician
- Bainbridge Island, WA
- NPI 1730237942
Internal Medicine
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1396851614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "MS:M4-PA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PAUL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00022089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8640708",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "S617",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0039581",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA MEDICAID",
"identifier": "MD9802",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC PCP",
"identifier": "US0899768",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO MEDICAID",
"identifier": "805170100",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.