Michael David Smith, MD

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

38851 Issued in NC

Practice address

3805 Computer Dr
Raleigh, NC 27609-6503

Phone

(919) 781-6200

Fax

(919) 783-1819

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kamm McKenzie OBGYN, PLLC

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
  • NPI 1316900780
  Medicare reassignment NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1992707533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 COMPUTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096503",
            "telephone_number": "919-781-6200",
            "fax_number": "919-783-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 COMPUTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096503",
            "telephone_number": "919-781-6200",
            "fax_number": "919-783-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "38851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978027",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Danielle Smith, PA
• Marsha Marek Smith, MD
• Maxwell Hopkins Smith, DC
• Melodie Smith
• Meredith Smith
• Michelle Diane Smith
• Milton Smith
• Monica Shevock Smith, PA-C
• Mykeia J Smith
• Nicholas Joseph Smith, LMBT

• Obstetrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Obstetrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.