Active NPI
Wayne Robert Smith, DO
- Emergency Medicine Physician
- Norfolk, VA
National Provider Identifier
1659547180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO1970
- Practice address
- US Fleet Forces Command 1652 Mitscher Ave
Norfolk, VA 23551-2111 - Phone
- (757) 836-9838
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1970 | ME | |
| Emergency Medicine Physician | 207P00000X | DO1970 | ME | Primary |
Addresses
Primary practice location
US Fleet Forces Command 1652 Mitscher Ave
Norfolk, VA 23551-2111
Mailing address
PSC 817 Box 1298
Fpo, AE 09622-0013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1970 | ME | MD | Emergency Medicine Physician |
| 1970 | ME | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1659547180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 817 BOX 1298",
"city": "FPO",
"state": "AE",
"postal_code": "096220013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US FLEET FORCES COMMAND 1652 MITSCHER AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235512111",
"telephone_number": "757-836-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WAYNE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ME",
"license": "1970",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "DO1970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.