NPIMap

Organization Active NPI

Gregg Smith D.O., P.C.

  • Hospitalist Physician
  • Mesa, AZ
National Provider Identifier
1619184652
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2813 Issued in AZ
Legal business name
GREGG SMITH D.O., P.C.
Practice address
1042 N Higley Rd
Suite 102-602
Mesa, AZ 85205-5398
Phone
(480) 242-6297
Fax
(480) 699-3129
NPI assigned
May 17, 2007
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Gregg A Smith, D.O.NPI 1003803925
Title
Owner
Phone
(480) 242-6297

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
Hospitalist Physician 208M00000X 2813 AZ Primary

Addresses

Primary practice location

1042 N Higley Rd
Suite 102-602
Mesa, AZ 85205-5398

Mailing address

1042 N Higley Rd
Suite 102-602
Mesa, AZ 85205-5398
Phone (480) 242-6297

Other identifiers 1

IdentifierTypeStateIssuer
318198MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1042 N Higley Rd
Ste 102602
Mesa, AZ 85205
Phone (480) 242-6297

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1619184652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N HIGLEY RD",
            "address_2": "SUITE 102-602",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055398",
            "telephone_number": "480-242-6297",
            "fax_number": "480-699-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 N HIGLEY RD",
            "address_2": "SUITE 102-602",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055398",
            "telephone_number": "480-242-6297",
            "fax_number": "480-699-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG SMITH D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-242-6297",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318198",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.