Annette Marie Smith, M.D., M.A.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01065316A Issued in IN

Practice address

44419 Town Center Way Ste E
Palm Desert, CA 92260-7100

Phone

(760) 469-9843

Fax

(760) 469-9845

NPI assigned

Mar 7, 2007

Last updated

Oct 14, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13070/brand/2/csg/1/fhir/r4

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.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762
  Medicare reassignment
• Community Medical Associates, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1386904647
  NPD
• Community Medical Associates, Inc.

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1922288760
  NPD (past)
• South Bend Orthopaedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1669421277

  Orthopaedic Surgery of the Spine

  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1912037888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2323",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922022323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44419 TOWN CENTER WAY STE E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922607100",
            "telephone_number": "760-469-9843",
            "fax_number": "760-469-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 E 10th St",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471305904",
            "country_code": "US",
            "telephone_number": "812-280-9355",
            "fax_number": "812-285-1487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "46142",
            "country_code": "US",
            "telephone_number": "317-528-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "218971",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01065316A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200906330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Elizabeth Sloan, P.A.
• Patricia Claiborne Slough, P.T.
• Sukhsanjam Kaur Smagh, CHW
• Tayla Smirh
• Acacia Smith
• Eleanore Smith
• Isabella Smith, PT
• Nicole Eileen Smith
• Niesha Smith, SLPA
• Renee M Smith, DPT

• General Practice Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.