A. Mitchell Smith, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD010240E Issued in PA

Practice address

401 Township Line Rd
Suite a
Elkins Park, PA 19027-2202

Phone

(215) 663-1188

Fax

(215) 663-9152

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1609965722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD",
            "address_2": "SUITE A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-663-1188",
            "fax_number": "215-663-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD",
            "address_2": "SUITE A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-663-1188",
            "fax_number": "215-663-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "A.",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD010240E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000641202006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander John Siomko, CRNP
• Michelle Sisson, PH.D.
• Gerald H Skobinsky, D.O.
• James William Slavin
• Sleepcare Center, Inc.
• Jelisa S Smith
• Andrew Snyder, NRP
• Veronika Sokolovski, DMD
• Jennifer Aimee Souder, CRNP
• Sousan Pharmacy Inc

• Cardiovascular Disease Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.