Gary L Smith, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MDH3177 Issued in TX

Practice address

5402 S Staples St
Ste 205
Corpus Christi, TX 78411-4670

Phone

(361) 882-3487

Fax

(361) 882-3811

NPI assigned

Jun 8, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corpus Christi Allergy & Dermatology Clinic PA

  • Allergy & Immunology Physician
  • Corpus Christi, TX
  • NPI 1447361621
  NPD (past) Authorized official

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1699779652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60170",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784660170",
            "telephone_number": "361-882-3487",
            "fax_number": "361-882-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 S STAPLES ST",
            "address_2": "STE 205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114670",
            "telephone_number": "361-882-3487",
            "fax_number": "361-882-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "MDH3177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120650004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER NO",
            "identifier": "84530Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlina Juarez Smith, RPH
• Ashley Tarleton Smith
• Bambi Gail Smith
• Charles Smith, PHD.
• Danielle Nicole Smith, BCABA
• Grant Edward Smith, D. C.
• Jeffrey Smith, LPC
• Joanna Smith, M.S.
• Joanne Lynn Smith
• John Francis Smith

• Allergy Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Allergy Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.