David R Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD041843L Issued in PA

Practice address

33 East Chestnut Hill Ave
Suite 201
Phila, PA 19118

Phone

(215) 247-0900

Fax

(215) 247-7696

NPI assigned

Jul 7, 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

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1619909942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E CHESTNUT HILL AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182713",
            "telephone_number": "215-247-0900",
            "fax_number": "215-247-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 EAST CHESTNUT HILL AVE",
            "address_2": "SUITE 201",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-247-0900",
            "fax_number": "215-247-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD041843L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006744190004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sky Medical Associates, P.C.
• Justine Marie Sliwka, M.S.
• Natasha Renee Sloan, BS
• Theresa Sharp Smigo, MSN, CRNP, CNS, RN-C
• Barbara G Smith, MSW, LSW
• Elton John Smith, M.D.
• Ivy Smith, CD
• Nicole Sherae Smith, DNP, CRNA
• Patrina Joy Smith, PHARMACY
• Peaches Smith

• Family Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.