Smith Medicine, PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

MD427776 Issued in PA

Legal business name

SMITH MEDICINE, PC

Practice address

100 E Lancaster Ave
Mob East #450
Wynnewood, PA 19096-3450

Phone

(610) 896-0648

Fax

(610) 642-1690

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Jason Smith, M.D.

Title

Vice-President

Phone

(215) 668-4613

Specialties & licenses 1

Addresses

Tax ID family

Smith Medicine PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Smith Medicine, PC

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1558626200
  NPD tax ID
• Smith Medicine, PC

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1780945634
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHGBBA

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1467717116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST #450",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-0648",
            "fax_number": "610-642-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST #450",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-0648",
            "fax_number": "610-642-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "215-668-4613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD427776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patsy L. Skabla, PA-C
• SKR Home and Healthcare Solutions, LLC
• Jodi Slepian, M.D.
• Katarina Smigoc, MD
• Robert D. Smink Jr., MD
• Smith Medicine, PC
• Smith Medicine, PC
• Abigail Peyton Smith
• Amy Miller Smith, M.D.
• Bradford Davison Smith Jr., M.D.

• Sports Medicine (Family Medicine) Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.