Joel Reed Smith
Individual provider Active NPI Internal Medicine Physician · Saipan, MP
NPI 1679617294 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679617294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0417 (MP)
- Practice address
- 1 Lower Navy Hill Road
Common Wealth Health Center
Saipan, MP 96950 - Phone
- (670) 483-0161
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0417 | MP | MD | Internal Medicine Physician |
| 31604 | WA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31604 | WA | |
| Internal Medicine Physician | 207R00000X | 0417 | MP | Yes |
Addresses
Primary practice location
1 Lower Navy Hill Road
Common Wealth Health Center
Saipan, MP 96950
Mailing address
16520 Ashworth Avenue North
Shoreline, WA 98133
Phone (206) 542-8498
Other providers in Saipan, MP
- Maureen Sebangiol
- Robin Stuart Shearer
- Sarah Jane Shearer
- William Jerry Barnet Shearer
- Smile Marianas, Inc.
- Winnie E Solano
- St. Jude Renal Care Facility, Inc.
- Janice C Stanley
- Anthony Richard Stearns
- Carita Stenfors-Berglund
All providers in Saipan, MP · Internal Medicine Physician in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.