Martin Luther Smith Sr.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

IHCP-0198 Issued in SC

Practice address

2000 Mockingbird Rd
Columbia, SC 29204-3123

Phone

(803) 543-8936

Fax

(866) 806-7982

NPI assigned

Nov 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1770025199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MOCKINGBIRD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043123",
            "telephone_number": "803-543-8936",
            "fax_number": "866-806-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOCKINGBIRD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043123",
            "telephone_number": "803-543-8936",
            "fax_number": "866-806-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARTIN",
        "middle_name": "LUTHER",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "IHCP-0198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Smith
• Madeline Soucy Smith, APRN
• Makala Katuscak Smith, RD, LD
• Mariah Smith
• Marion Jackson Smith III, PA-C
• Mary C. Smith, CRNA
• Mary Stephanie Smith, FNP-C, MSN
• McKayla Smith
• Mea Smith
• Michael S Smith, DDS

• Home Health Aide in Columbia, SC
• Providers in Columbia, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.