Elizabeth C Smith MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301067487 Issued in MI

Legal business name

ELIZABETH C SMITH MD PC

Practice address

5777 W Maple Rd
Suite 170
West Bloomfield, MI 48322-2267

Phone

(248) 855-0077

Fax

(248) 855-0042

NPI assigned

Aug 19, 2006

Last updated

Dec 20, 2010By 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

Ms. Elizabeth Catherine Smith, MDNPI 1013959113

Title

Owner

Phone

(248) 855-0077

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth C. Smith, M.D.

  • Neurology Physician
  • West Bloomfield, MI
  • NPI 1013959113
  Authorized official Same address or phone

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1881708477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "address_2": "SUITE 170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-855-0077",
            "fax_number": "248-855-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "address_2": "SUITE 170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-855-0077",
            "fax_number": "248-855-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH C SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-855-0077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301067487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.