Active NPI
Steve W. Smith M.D., P.a.
- Health Service Clinic/Center
- Plant City, FL
National Provider Identifier
1477851053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 59079
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steve Wayne Smith, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05821400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 750-1441
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Plant City, FL
- NPI 1174696256
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.