David Smock, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24675 Issued in AZ

Practice address

11274 S Fortuna Rd Ste I4
558 Abbott St Ste a
Yuma, AZ 85367-7849

Phone

(928) 345-2150

Fax

(928) 345-2151

NPI assigned

May 27, 2005

Last updated

Jun 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Level 4 Medical Professional Corporation

  dba Foothills Walk-in Medical and Urgent Care

  • Basic Emergency Medical Technician
  • Yuma, AZ
  • NPI 1023041654
  Authorized official Same address or phone
• Foothills Walkin Medical

  • Legal Medicine
  • Yuma, AZ
  • NPI 1730309717
  NPD (past)
• Marina Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Marina, CA
  • NPI 1457793275
  NPD (past)
• Santa Cruz Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Santa Cruz, CA
  • NPI 1497197222
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1710980206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 S MAGNOLIA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645250",
            "telephone_number": "831-596-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11274 S FORTUNA RD STE I4",
            "address_2": "558 ABBOTT ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677849",
            "telephone_number": "928-345-2150",
            "fax_number": "928-345-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOCK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "24675",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "MO",
            "license": "2003017056",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A54922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Smith, DNP, FNP-C
• Margery Smith, FNP-C
• Richard Smith, M.S., LMFT
• Smiths Food & Drug Centers Inc
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• John P Smock, PA-C
• Robert Francis Smythe, M.D.
• Tina Snow, LAMFT
• Ana Maria Snyder, PA-C
• Elliott Harold Snyder, O.D

• Family Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.