Active NPI
Sidney J Smith MD PC
- Obstetrics & Gynecology Physician
- Monroe, MI
National Provider Identifier
1932266251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SIDNEY J SMITH MD PC
- Practice address
- 1086 N Monroe St
Monroe, MI 48162-3193 - Phone
- (734) 457-3340
- Fax
- (734) 457-3910
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sidney J. Smith, M.D.
- Title
- Owner
- Phone
- (734) 457-3340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OH | Primary |
Addresses
Primary practice location
1086 N Monroe St
Monroe, MI 48162-3193
Mailing address
1086 N Monroe St
Monroe, MI 48162-3193
Phone (734) 457-3340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1605823141 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1605823141 | Other | MI | BLUE CARE NETWORK |
National Provider Directory
National Provider DirectoryLocations
1086 N Monroe St
Monroe, MI 48162
Phone (734) 244-5380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1932266251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623193",
"telephone_number": "734-457-3340",
"fax_number": "734-457-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623193",
"telephone_number": "734-457-3340",
"fax_number": "734-457-3910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDNEY J SMITH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SIDNEY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-457-3340",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1605823141",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1605823141",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.