Matthew G Smith MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME90555 Issued in FL

Legal business name

MATTHEW G SMITH MD PA

Practice address

2105 Tyrone Blvd N
St Petersburg, FL 33710-4023

Phone

(727) 823-3022

Fax

(727) 343-6775

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew G Smith, M.D.NPI 1235121724

Title

President

Phone

(727) 823-3022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Gregory Smith, M.D.

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1235121724
  Medicare reassignment NPD Authorized official
• Jennifer Jonell Coleman, ARNP

  • Family Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1558530253
  Medicare reassignment NPD
• Paul Porter Schorr, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Mesquite, TX
  • NPI 1710920707
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1679796627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104023",
            "telephone_number": "727-823-3022",
            "fax_number": "727-343-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104023",
            "telephone_number": "727-823-3022",
            "fax_number": "727-343-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW G SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-823-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273475300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naoe Matsumoto, PTA
• Elias N Matta, M.D.
• Neil S Matta, L.D.O
• Judith Ann Mattea, ARNP
• Gehan Kadri Matter, PTA
• Matthew Lalli DDS
• Tara Matthews, M.S., CCC-SLP
• Ashleigh Brooke Mattingley, APRN
• Meghan Mattson
• Heather Maturo

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.