Alva D Smith MD PC
Organization Active NPI Cardiovascular Disease Physician · Berwick, PA
NPI 1508805367 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1508805367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- ALVA D SMITH MD PC
- Practice address
- 751 E 16TH St
Suite 200
Berwick, PA 18603-2321 - Phone
- (570) 759-5491
- Fax
- (570) 759-5495
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Alva D Smith, MD
- Title
- President
- Phone
- (570) 759-5491
National Provider Directory
Locations
751 E 16th St
Ste 200
Berwick, PA 18603
Phone (570) 552-3900
24 Cree Dr
Fl First
Lock Haven, PA 17745
Phone (570) 893-5445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
751 E 16TH St
Suite 200
Berwick, PA 18603-2321
Mailing address
751 E 16TH St
Suite 200
Berwick, PA 18603-2321
Phone (570) 759-5491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1379115 | Other | PA BLUE SHIELD | |
| 0019024200002 | Medicaid | PA |
Other providers in Berwick, PA
- Christine Allen
- Rayanne Marie Allen
- Alley Medical Center Lab
- Albert J Alley
- Ali A Alley
- Anesthesia 24/7, PC
- Arielle Perry LCSW
- Keith Steven Armson
- Michael R. Ashton
- Elizabeth Anne Bauman
All providers in Berwick, PA · Cardiovascular Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.