Active NPI
Budge H Smith, MD
- Cardiovascular Disease Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD00020856
- Practice address
- 12728 19TH Ave SE
Suite 200
Everett, WA 98208-6526 - Phone
- (425) 225-2700
- Fax
- (425) 227-2790
- NPI assigned
- Jun 9, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00020856 | WA | Primary |
Addresses
Primary practice location
12728 19TH Ave SE
Suite 200
Everett, WA 98208-6526
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00020856 | Other | WA | STATE LICENSE NUMBER |
| 8107518 | Medicaid | WA | |
| 0067764 | Other | WA | LABOR AND INDUSTRY |
| 060047872 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients |
Locations
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
12728 19th Ave SE
Ste 200
Everett, WA 98208
Phone (425) 252-1116
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
307 S 13th St
Ste 300
Mount Vernon, WA 98274
Phone (360) 336-9757
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Pediatrics Physician
- Gig Harbor, WA
- NPI 1225674963
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- General Practice Physician
- Mukilteo, WA
- NPI 1306201488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1427099746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 19TH AVE SE",
"address_2": "SUITE 200",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086526",
"telephone_number": "425-225-2700",
"fax_number": "425-227-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BUDGE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00020856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD00020856",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8107518",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0067764",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060047872",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.