Peaches Smith

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

PA127679 Issued in PA

Practice address

6621 Hasbrook Ave
Phila, PA 19111-4648

Phone

(215) 455-0536

Fax

(215) 455-0536

NPI assigned

Mar 12, 2022

Last updated

Mar 12, 2022By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1841948502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 HASBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114648",
            "telephone_number": "215-455-0536",
            "fax_number": "215-455-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 HASBROOK AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191114648",
            "telephone_number": "215-455-0536",
            "fax_number": "215-455-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEACHES",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "PA127679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMT",
            "identifier": "PA127679",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R Smith, MD
• Elton John Smith, M.D.
• Ivy Smith, CD
• Nicole Sherae Smith, DNP, CRNA
• Patrina Joy Smith, PHARMACY
• Smith's Pharmacy Inc
• SMS Mr Wheelchair LLC (mr wheelchair)
• Heather M Sneff, MD
• Vincenza Snow, MD
• Courtney R Snyder, DO

• Emergency Medical Services (Emergency Medicine) Physician in Phila, PA
• Providers in Phila, PA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.