Active NPI
Michael Smerka, C.P.
- Prosthetist
- Marblehead, MA
National Provider Identifier
1528375201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CP003533
- Practice address
- 8 Mitchell Rd
Marblehead, MA 01945-1130 - Phone
- (781) 990-3052
- NPI assigned
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CP003533 | MA | Primary |
Addresses
Primary practice location
8 Mitchell Rd
Marblehead, MA 01945-1130
Mailing address
8 Mitchell Rd
Marblehead, MA 01945-1130
Phone (781) 990-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003533 | MA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1528375201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MITCHELL RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451130",
"telephone_number": "781-990-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MITCHELL RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451130",
"telephone_number": "781-990-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMERKA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "MA",
"license": "CP003533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.