Smith Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD431430 Issued in PA

Legal business name

SMITH MEDICINE, PC

Practice address

6 E Lancaster Ave Ste 200
Wynnewood, PA 19096-3430

Phone

(610) 896-0648

Fax

(610) 642-1690

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amy Miller Smith, MDNPI 1821215567

Title

President

Phone

(267) 970-7117

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Smith Medicine PC3 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.

• Smith Medicine, PC

  • Sports Medicine (Family Medicine) Physician
  • Wynnewood, PA
  • NPI 1467717116
  NPD tax ID
• Smith Medicine, PC

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1558626200
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Miller Smith, M.D.

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1821215567
  Medicare reassignment NPD Authorized official
• William D Miller, M.D.

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1801850060
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1780945634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E LANCASTER AVE STE 200",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963430",
            "telephone_number": "610-896-0648",
            "fax_number": "610-642-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E LANCASTER AVE STE 200",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963430",
            "telephone_number": "610-896-0648",
            "fax_number": "610-642-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-970-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD427776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD431430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Slepian, M.D.
• Katarina Smigoc, MD
• Robert D. Smink Jr., MD
• Smith Medicine, PC
• Smith Medicine, PC
• Abigail Peyton Smith
• Amy Miller Smith, M.D.
• Bradford Davison Smith Jr., M.D.
• Andrew Ian Smolar, MD
• William Jeffery Snider, D.M.D.

• Internal Medicine Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.