Individual provider Active NPI

Taylor Smith, MD

  • Emergency Medicine Physician
  • Saint Petersburg, FL
National Provider Identifier
1952716367
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME131326 Issued in FL
Practice address
701 6TH St S
Saint Petersburg, FL 33701-4814
Phone
(727) 823-1234
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME131326 FL Primary

Addresses

Primary practice location

701 6TH St S
Saint Petersburg, FL 33701-4814

Mailing address

603 7TH St S Ste 360
Saint Petersburg, FL 33701-4732
Phone (727) 533-7391

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-9726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170627001842 FL Practitioner - Emergency Medicine 9638448186 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131326FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Crossroads Emergency Medicine CurrentSince Jun 19, 2023 Accepting new patients
Emergency Physicians of St Petersburg PA Emergency Medicine CurrentSince Apr 5, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Emergency Physicians of Pinellas PA Emergency Medicine CurrentSince Dec 20, 2018 Accepting new patients

Locations

3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300

1800 66th St N
St Petersburg, FL 33710
Phone (727) 823-1234

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

603 7th St S
Ste 360
St Petersburg, FL 33701
Phone (727) 553-7300

Interoperability endpoints

  • Direct secure messaging: tsmith188910@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952716367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 360",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014732",
            "telephone_number": "727-533-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-9726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME131326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.