Smith Surgical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SMITH SURGICAL SUPPLY INC

Practice address

2504 N Knoxville Ave
Peoria, IL 61604-3622

Phone

(309) 685-7511

Fax

(309) 685-1994

NPI assigned

Oct 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia L Webb

Title

President

Phone

(309) 685-7511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508854191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043622",
            "telephone_number": "309-685-7511",
            "fax_number": "309-685-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043622",
            "telephone_number": "309-685-7511",
            "fax_number": "309-685-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-685-7511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smalltown Dental Willow Knolls LLC
• Anna Carney Smarjesse
• Stephen J Smart, MD
• Lindsay Smick, CRNA
• Elizabeth S. Smid Garcia, PA
• Jalisa Smith-Jordan, LCSW
• Asia Smith-Vernon, RDH
• Alexander Blake Smith
• Andrea Smith, RBT
• Bonnie Smith, M.D.

• Durable Medical Equipment & Medical Supplies in Peoria, IL
• Providers in Peoria, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.