Cheryl Smith DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013898 Issued in MI

Legal business name

CHERYL SMITH DO PC

Practice address

14700 King Rd
Suite B
Riverview, MI 48193-7909

Phone

(734) 759-0267

Fax

(734) 759-0272

NPI assigned

May 10, 2007

Last updated

Dec 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl L Smith, D.O.

Title

President

Phone

(734) 759-0267

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1821202409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 KING RD",
            "address_2": "SUITE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "734-759-0267",
            "fax_number": "734-759-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 KING RD",
            "address_2": "SUITE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "734-759-0267",
            "fax_number": "734-759-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL SMITH DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-759-0267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7160324",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114351229",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI GROUP PIN",
            "identifier": "080H234390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI INDIVIDUAL PIN",
            "identifier": "0858208025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080190734",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073502928",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niquoya Brown
• Edward C Bush, M.D.
• Susan Cahillane, RN
• Kyle Casey
• Bruce Charette
• Vidhya Rani Choudhary
• City of Riverview (Riverview Fire Department)
• Clinexa LLC
• Luz Colbert
• Jodie Marie Cole, MSN, RN, AGCNS-BC

• Family Medicine Physician in Riverview, MI
• Providers in Riverview, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.