Organization Active NPI

Michael Smith MD PC

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
National Provider Identifier
1609034693
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MS034028 Issued in MI
Legal business name
MICHAEL SMITH MD PC
Practice address
145 Rochdale Dr S
Suite C
Rochester Hills, MI 48309-2275
Phone
(248) 656-0544
Fax
(248) 656-1613
NPI assigned
May 28, 2008
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Michael Smith, M.D.NPI 1396713343
Title
Owner
Phone
(248) 656-0544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MS034028 MI Primary

Addresses

Primary practice location

145 Rochdale Dr S
Suite C
Rochester Hills, MI 48309-2275

Mailing address

145 Rochdale Dr S
Suite C
Rochester Hills, MI 48309-2275
Phone (248) 656-0544

Other identifiers 1

IdentifierTypeStateIssuer
3067086MedicaidMI

National Provider Directory

National Provider Directory

Locations

145 Rochdale Dr S
Ste C
Rochester Hills, MI 48309
Phone (248) 656-0544

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1609034693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S",
            "address_2": "SUITE C",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-656-0544",
            "fax_number": "248-656-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S",
            "address_2": "SUITE C",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-656-0544",
            "fax_number": "248-656-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-656-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "MS034028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067086",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.