Active NPI
Catherine S Smith, MD
- Otolaryngology Physician
- Punta Gorda, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME138387
- Practice address
- 713 E Marion Ave Ste 133
Punta Gorda, FL 33950-3868 - Phone
- (941) 833-1777
- Fax
- (941) 347-8544
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101225426 | VA | |
| Otolaryngology Physician | 207Y00000X | ME138387 | FL | Primary |
Addresses
Primary practice location
713 E Marion Ave Ste 133
Punta Gorda, FL 33950-3868
Mailing address
713 E Marion Ave Ste 133
Punta Gorda, FL 33950-3868
Phone (941) 833-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010148987 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | catherine.smith.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138387 | FL | MD | Otolaryngology Physician |
| 0101225426 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Otolaryngology | Current | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Head and Neck Specialists, PLC | Otolaryngology | Current | Accepting new patients |
| Winchester Ear, Nose & Throat Center, PLLC | Past | Accepting new patients |
Locations
142 Linden Dr
Ste 106
Winchester, VA 22601
Phone (540) 722-3878
347 Westside Station Dr
Winchester, VA 22601
Phone (540) 667-9252
136 Linden Dr
Ste 104
Winchester, VA 22601
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
Organizations & group practices 5
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.
-
- Otolaryngology Physician
- Winchester, VA
- NPI 1659478485
-
dba Valley Health Shenandoah Memorial Hospital Multispecialty Clinic
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
-
- Specialist
- Winchester, VA
- NPI 1841242591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1851351407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 E MARION AVE STE 133",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503868",
"telephone_number": "941-833-1777",
"fax_number": "941-347-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E MARION AVE STE 133",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503868",
"telephone_number": "941-833-1777",
"fax_number": "941-347-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CATHERINE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101225426",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME138387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010148987",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "catherine.smith.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct address",
"address_1": "713 E Marion Ave Ste 133",
"city": "Punta Gorda",
"state": "FL",
"country_code": "US",
"postal_code": "339503868",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.