Joan Smith, D.O. P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

H0048286 Issued in MD

Legal business name

JOAN SMITH, D.O. P.A.

Practice address

31664 Old Ocean City Rd
Salisbury, MD 21804-1800

Phone

(410) 334-3805

Fax

(410) 860-5191

NPI assigned

Jun 30, 2010

Last updated

Jul 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan Smith, D.O.NPI 1245233840

Title

Physician

Phone

(410) 334-3805

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Joan Smith, D.O.

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1245233840
  Authorized official Same address or phone

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1558672006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31664 OLD OCEAN CITY RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041800",
            "telephone_number": "410-334-3805",
            "fax_number": "410-860-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31664 OLD OCEAN CITY RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041800",
            "telephone_number": "410-334-3805",
            "fax_number": "410-860-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN SMITH, D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-334-3805",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "H0048286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "916Q",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "669500100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acantha Bianca Jeune Joseph
• Muhammad Jibran, MD
• Jill Porter CRNP PA
• Suzanne Marie Jiloca, MD
• Dhileep Jinna, DMD
• Joanne Bushman DC PA
• Jock Simon
• Laine Jogi
• John a Routenberg MD PA
• John B. Parsons Home, LLC (John B. Parsons Home)

• Primary Care Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.