Individual provider Active NPI

Dionne J Smith, MD

  • Emergency Medicine Physician
  • Salisbury, MD
National Provider Identifier
1770549123
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0063918 Issued in MD
Practice address
100 East Carroll Street
Salisbury, MD 21801
Phone
(410) 543-7100
Fax
(410) 546-6350
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0063918 MD Primary

Addresses

Primary practice location

100 East Carroll Street
Salisbury, MD 21801

Mailing address

PO Box 3012
Wilmington, DE 19804
Phone (800) 456-4629

Other identifiers 1

IdentifierTypeStateIssuer
P00433448OtherMDRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060228000698 MD Practitioner - Emergency Medicine 3375559362 Reassigns benefits to 2 organizations
I20180604000342 DC Practitioner - Emergency Medicine 3375559362 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Observation Services LLC Emergency Medicine CurrentSince May 26, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 1, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Mep Observation Services LLC CurrentSince May 26, 2018 Accepting new patients
Washington County Emergency Medicine Physicians, LLC Past Accepting new patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

20010 Century Blvd
Ste 200
Germantown, MD 20874

251 E Antietam St
Hagerstown, MD 21740
Phone (301) 293-0232

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1770549123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19804",
            "telephone_number": "800-456-4629",
            "fax_number": "302-224-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST CARROLL STREET",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-543-7100",
            "fax_number": "410-546-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIONNE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0063918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00433448",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.