NPIMap

Individual provider Active NPI

Gary Charles Smith, M.D.

  • Pediatrics Physician
  • MC Murray, PA
National Provider Identifier
1912977471
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD065711L Issued in PA
Practice address
2001 Waterdam Plaza Dr
Ste 105
MC Murray, PA 15317-5416
Phone
(724) 942-6499
Fax
(724) 942-6498
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD065711L PA Primary

Addresses

Primary practice location

2001 Waterdam Plaza Dr
Ste 105
MC Murray, PA 15317-5416

Mailing address

2001 Waterdam Plaza Dr
Ste 105
MC Murray, PA 15317-5416
Phone (724) 942-6499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Community Care Pediatrics Past Accepting new patients
Washington Physician Services Pediatrics Past Accepting new patients
Health Futures Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gary.c.smith@upmcdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1912977471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WATERDAM PLAZA DR",
            "address_2": "STE 105",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175416",
            "telephone_number": "724-942-6499",
            "fax_number": "724-942-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WATERDAM PLAZA DR",
            "address_2": "STE 105",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175416",
            "telephone_number": "724-942-6499",
            "fax_number": "724-942-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD065711L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.