Gary Michael Smith, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME55792 Issued in FL

Practice address

4516 N Armenia Ave
Tampa, FL 33603-2732

Phone

(813) 348-6951

Fax

(813) 348-6999

NPI assigned

Feb 22, 2006

Last updated

Apr 1, 2010By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Sra Ventures Inc

  dba Westcoast Radiology

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • St Petersburg, FL
  • NPI 1760799258
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1932174885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403444",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843444",
            "telephone_number": "813-348-6951",
            "fax_number": "813-348-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032732",
            "telephone_number": "813-348-6951",
            "fax_number": "813-348-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME55792",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME55792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "300030980",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064818300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Louis Smith, MPAS
• Elizabeth Howard Smith
• Eric C Smith, ARNP-C
• Erica Latrice Smith, MSW, LCSW
• Erieka T Smith, LCSW
• George Byron Smith, ARNP
• Glenn Paul Smith, PH.D.
• Grace Smith
• Hannah Smith Smith, M.A.
• Heather Ann Smith, RPT

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

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