Mark V Smith, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

178548 Issued in NY

Practice address

86 Genesee St
New Hartford, NY 13413-2389

Phone

(315) 792-7629

Fax

(315) 792-3617

NPI assigned

Aug 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1821099458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132389",
            "telephone_number": "315-792-7629",
            "fax_number": "315-792-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132389",
            "telephone_number": "315-792-7629",
            "fax_number": "315-792-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "178548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Slocum Dickson Medical Group PLLC
• Slocum-Dickson Pharmacy Inc
• Allan M. Smiley, M.D.
• Andrew Martin Smith, PT, DPT
• Kimberly A Smith, RN
• Rachael Marie Smith, OTR/L
• Rachel Smith, MS CCC-SLP
• Robert Scott Smith, PH.D.
• Robert Stuart Smith, MD
• Paige Smithers, PA

• Surgery Physician in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.