Individual provider Active NPI

Elizabeth M. Smola, M.D.

  • Internal Medicine Physician
  • Brimfield, MA
National Provider Identifier
1396932612
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42942 Issued in MA
Practice address
1529 Dunhamtown Brimfield Road
Brimfield, MA 01010
Phone
(413) 245-6234
NPI assigned
Oct 1, 2007
Last updated
Aug 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 42942 MA
Internal Medicine Physician 207R00000X 42942 MA Primary

Addresses

Primary practice location

1529 Dunhamtown Brimfield Road
Brimfield, MA 01010

Mailing address

1529 Dunhamtown Brimfield Road
Brimfield, MA 01010
Phone (413) 245-6234

Other names 1

  • Dr. Elizabeth Mortarelli Smola Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42942MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1396932612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 DUNHAMTOWN BRIMFIELD ROAD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "01010",
            "telephone_number": "413-245-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 DUNHAMTOWN BRIMFIELD ROAD",
            "city": "BRIMFIELD",
            "state": "MA",
            "postal_code": "01010",
            "telephone_number": "413-245-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLA",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "42942",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMOLA",
            "middle_name": "MORTARELLI",
            "prefix": "DR.",
            "credential": "M.D,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brimfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.