David Glenn Smith MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

20451 Issued in KY

Legal business name

DAVID GLENN SMITH MD LLC

Practice address

1325 Andrea St
Suite 203
Bowling Green, KY 42104-5852

Phone

(270) 846-3811

Fax

(270) 846-3812

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Duke

Title

Office Manager

Phone

(270) 846-3811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Glenn Smith, MD LLC

  • Pulmonary Disease Physician
  • Bowling Green, KY
  • NPI 1871584052

  Pulmonary Disease

  NPD

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1972792695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "SUITE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-846-3811",
            "fax_number": "270-846-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "SUITE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-846-3811",
            "fax_number": "270-846-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GLENN SMITH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-846-3811"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "20451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64204514",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailee Daugherty
• Kevin D. Daugherty, D.M.D.
• Heather Hazelwood Dausman, LCSW
• Emily G. Davenport, PT
• David a. Buchanan, D.M.D.
• Rebecca Rene David, MS, ATC, LAT
• Randall P. Davidson, MD
• Davis and Robertson DMD. PSC
• Jayme Lauren Davis-Waddell, NP-C
• Amber Crigger Davis, MA, LPCC, LPC-MHSP,

• All providers in Bowling Green, KY
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.