Individual provider Active NPI

Marcy Smurthwaite, D.C.

  • Chiropractor
  • Largo, FL
National Provider Identifier
1477739860
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO 4192 Issued in FL
Practice address
12855 S Belcher Rd.
Suite 1
Largo, FL 33773-1638
Phone
(727) 539-0075
Fax
(727) 538-2663
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO 4192 FL Primary

Addresses

Primary practice location

12855 S Belcher Rd.
Suite 1
Largo, FL 33773-1638

Mailing address

12855 S Belcher Rd.
Suite 1
Largo, FL 33773-1638
Phone (727) 539-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080118000073 FL Practitioner - Chiropractic 6709967508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12855 Belcher S Rd
Suite 1
Largo, FL 33773-1638
Phone (727) 539-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHOOO 4192FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosenthal Chiropractic Inc Chiropractor CurrentSince Mar 27, 2007 Accepting new patients

Locations

12855 Belcher Rd S
Ste 1
Largo, FL 33773
Phone (727) 539-0075

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1477739860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 S BELCHER RD.",
            "address_2": "SUITE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731638",
            "telephone_number": "727-539-0075",
            "fax_number": "727-538-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 S BELCHER RD.",
            "address_2": "SUITE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731638",
            "telephone_number": "727-539-0075",
            "fax_number": "727-538-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMURTHWAITE",
        "first_name": "MARCY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO 4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.