Organization Active NPI

Maria E. Smith, MD, PLC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1811375389
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301091552 Issued in MI
Legal business name
MARIA E. SMITH, MD, PLC
Practice address
5105 W Bristol Rd
Flint, MI 48507-2955
Phone
(810) 733-0822
Fax
(810) 733-5567
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. Maria E. Smith, M.D.
Title
President
Phone
(810) 733-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301091552 MI Primary

Addresses

Primary practice location

5105 W Bristol Rd
Flint, MI 48507-2955

Mailing address

5105 W Bristol Rd
Flint, MI 48507-2955
Phone (810) 733-0822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150616000119 MI Part B Supplier - Clinic/Group Practice 7113238379 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

5105 W Bristol Rd
Flint, MI 48507
Phone (810) 733-0822

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1811375389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072955",
            "telephone_number": "810-733-0822",
            "fax_number": "810-733-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072955",
            "telephone_number": "810-733-0822",
            "fax_number": "810-733-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA E. SMITH, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-733-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.