Edward Albert Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9056 Issued in AZ

Practice address

2036 E Hackamore St
Mesa, AZ 85213-4003

Phone

(602) 418-9300

Fax

(480) 247-5493

NPI assigned

Nov 7, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BFG Medical Group LLC

  • General Practice Physician
  • Gilbert, AZ
  • NPI 1982172706
  Medicare reassignment NPD
• Prasada Health Center LLC

  • General Practice Physician
  • Surprise, AZ
  • NPI 1508532458
  Medicare reassignment NPD
• Restore Vascular PLLC

  • Phlebology Physician
  • Queen Creek, AZ
  • NPI 1396452611
  Medicare reassignment NPD
• Trinity Healthcare Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1992578223
  Medicare reassignment NPD
• Deseret Family Practice, LTD.

  dba Deseret Family Medicine

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1215960638

  Internal Medicine

  NPD (past)
• East Valley Medical LLC

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1073309571
  NPD (past)
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)
• Trinity Healthcare Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Queen Creek, AZ
  • NPI 1407717986
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1821278896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 E HACKAMORE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134003",
            "telephone_number": "602-418-9300",
            "fax_number": "480-247-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 E HACKAMORE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134003",
            "telephone_number": "602-418-9300",
            "fax_number": "480-247-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "9056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Smith, RBT
• Danielle A Smith
• David D Smith, DMD
• Demarkis Smith, PT
• Denise Bingham Smith
• Elizabeth Ellen Smith, M.D.
• Emmaline Smith
• Gregg Alan Smith, D.O.
• Gregory Reed Smith, PHARMD.
• Hosteen Smith

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.