Active NPI
Mary M Smyth MD PC
- Otolaryngology Physician
- Fall River, MA
National Provider Identifier
1710173109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 082086
- Legal business name
- MARY M SMYTH MD PC
- Practice address
- 1030 President Ave
Suite 302
Fall River, MA 02720 - Phone
- (508) 674-3500
- Fax
- (508) 674-3535
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary M Smyth, MD
- Title
- Physician
- Phone
- (508) 674-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 082086 | MA | Primary |
Addresses
Primary practice location
1030 President Ave
Suite 302
Fall River, MA 02720
Mailing address
PO Box 9503
Fall River, MA 02720
Phone (508) 674-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3148335 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
1030 President Ave
Ste 302
Fall River, MA 02720
Phone (508) 674-3500
1030 President Ave
#302
Fall River, MA 02720
Phone (508) 674-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1710173109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9503",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-674-3500",
"fax_number": "508-674-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"address_2": "SUITE 302",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-674-3500",
"fax_number": "508-674-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY M SMYTH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "SMYTH",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "508-674-3500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MA",
"license": "082086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3148335",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.