SMH Physician Services Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME84613 Issued in FL

Legal business name

SMH PHYSICIAN SERVICES INC

Practice address

1040 River Heritage Blvd
Suite 202
Bradenton, FL 34212-6348

Phone

(941) 917-2600

Fax

(941) 917-7884

NPI assigned

Jun 18, 2014

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ilene Gilbert-Droge, COO

Title

Coo

Phone

(941) 917-8700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Heritage Harbour Time Share Office Other name

Tax ID family

SMH Physicians Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• SMH Physician Services Inc

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1275770968
  NPD tax ID
• SMH Physician Services Inc

  • Pain Medicine (Anesthesiology) Physician
  • Sarasota, FL
  • NPI 1447523832
  NPD tax ID

Locations

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1730593773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER HERITAGE BLVD",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342126348",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMH PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT-DROGE",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "941-917-8700",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME111784",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME84613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376537700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Harbour Time Share Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kasey Marie Slusarczyk
• Molly Bishop Small, PHARMD
• Smart Living Coaching Services LLC
• Allison Smerz
• SMH Physician Services Inc
• SMH Physician Services Inc (First Physicians Group)
• Smile Nation
• Adrianne Lee Smith, DACM
• Angela Smith
• Ballard F Smith Jr., M.D.

• Obstetrics & Gynecology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.