Barry Childs Smith, PHYSICIANS ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001288 Issued in MI

Practice address

30500 Van Dyke Ave Ste 203
Warren, MI 48093-2109

Phone

(248) 480-9066

Fax

(248) 480-9062

NPI assigned

Feb 23, 2010

Last updated

Jan 10, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

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.

• Michigan Home Care Doctors PLLC

  • Internal Medicine Physician
  • Dearborn HTS, MI
  • NPI 1730409772
  NPD (past)
• Total Health Care Professionals, PLLC

  • Legal Medicine
  • Farmington Hills, MI
  • NPI 1265619985
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1851613475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 9 MILE RD",
            "address_2": "STE 100",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201990",
            "telephone_number": "248-336-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE STE 203",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932109",
            "telephone_number": "248-480-9066",
            "fax_number": "248-480-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARRY",
        "middle_name": "CHILDS",
        "name_prefix": "Mr.",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-23",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SM Home Care LLC
• Alina Smirnov
• Crisanta Smith Mitchell
• Ileah-Mare Smith-Allen, LPC
• Andrea Dolores Smith
• Briana Smith
• Carli Sheridan Smith
• Derrick Smith
• Efrion Smith
• Erica Danyell Smith

• Physician Assistant in Warren, MI
• Providers in Warren, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.