Organization Active NPI

Steve W. Smith M.D., P.a.

  • Health Service Clinic/Center
  • Plant City, FL
National Provider Identifier
1477851053
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
59079 Issued in FL
Legal business name
STEVE W. SMITH M.D., P.A.
Practice address
102 Southern Oaks Dr
Plant City, FL 33563-1446
Phone
(813) 750-1441
Fax
(813) 757-6175
NPI assigned
Mar 7, 2011
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Steve Wayne Smith, MDNPI 1174696256
Title
Physician/ Owner
Phone
(813) 750-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 59079 FL Primary

Addresses

Primary practice location

102 Southern Oaks Dr
Plant City, FL 33563-1446

Mailing address

102 Southern Oaks Dr
Plant City, FL 33563-1446
Phone (813) 750-1441

Other identifiers 1

IdentifierTypeStateIssuer
05821400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000320 FL Part B Supplier - Clinic/Group Practice 1759568603 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Locations

102 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 750-1441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13819/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1477851053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SOUTHERN OAKS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631446",
            "telephone_number": "813-750-1441",
            "fax_number": "813-757-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTHERN OAKS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631446",
            "telephone_number": "813-750-1441",
            "fax_number": "813-757-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE W. SMITH M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "813-750-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "59079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05821400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.

Verify at the official NPI Registry.