Organization Active NPI

Bill Smith MD PC

  • Family Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1538356050
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16678 Issued in AZ
Legal business name
BILL SMITH MD PC
Practice address
7555 N Overfield Rd
Casa Grande, AZ 85294-9101
Phone
(520) 723-9030
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Bill Smith, MD
Title
MD
Phone
(520) 723-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16678 AZ Primary

Addresses

Primary practice location

7555 N Overfield Rd
Casa Grande, AZ 85294-9101

Mailing address

7555 N Overfield Rd
Casa Grande, AZ 85294-9101
Phone (520) 723-9030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000342 AZ Part B Supplier - Clinic/Group Practice 7911912431 Receives reassigned benefits from 1 practitioner
Practice locations: Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

7555 N Overfield Rd
Casa Grande, AZ 85194
Phone (520) 723-9030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1538356050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 N OVERFIELD RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852949101",
            "telephone_number": "520-723-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 N OVERFIELD RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852949101",
            "telephone_number": "520-723-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "520-723-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "16678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.