DRS Steve & Kellie Smaldore Family Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DRS STEVE & KELLIE SMALDORE FAMILY PRACTICE, INC

Practice address

2227 Old Emmorton Rd Ste 218
Bel Air, MD 21015-6189

Phone

(443) 371-4940

Fax

(443) 371-4941

NPI assigned

Dec 6, 2006

Last updated

Aug 17, 2023By 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

Kellie Bobbitt Smaldore, DONPI 1356335095

Title

Owner/Physician

Phone

(443) 371-4940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Drs Steve & Kellie MDVIP Practice, Inc Former legal business name
• Smaldore Family Practice Associates, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Kellie Bobbitt Smaldore, DO

  • Family Medicine Physician
  • Bel Air, MD
  • NPI 1356335095
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen Gerard Smaldore, DO

  • Family Medicine Physician
  • Bel Air, MD
  • NPI 1427042167
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1891854188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD STE 218",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156189",
            "telephone_number": "433-371-4940",
            "fax_number": "443-371-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD STE 218",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156189",
            "telephone_number": "443-371-4940",
            "fax_number": "443-371-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS STEVE & KELLIE SMALDORE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "SMALDORE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "BOBBITT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "443-371-4940",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952110100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Steve & Kellie MDVIP Practice, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Smaldore Family Practice Associates, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.