MICHELLE SMITH MD NPI 1114308640

NPI Information

NPI: 1114308640
Provider Name: MICHELLE SMITH, MD
Classification: Pathology - 207ZP0213X
Entity Type: Individual

Specialization: Pediatric Pathology

PECOS Registration: Yes

Address:
1 CHILDRENS PLZ
DAYTON, OH
ZIP 45404
Phone: (937) 641-4000
Get Directions

Michelle Smith, MD is a pediatric pathology pathology in Dayton, OH. The provider is a pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. Michelle Smith, MD NPI is 1114308640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PLZ
DAYTON, OH
ZIP 45404-815
Phone: (937) 641-4000
Fax: (937) 641-4500

The NPI 1114308640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2015 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		35.142296	OHIO	No
2	207Q00000X	Family Medicine		11018335A	INDIANA	No
3	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	50567	KENTUCKY	No
4	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	35.142296	OHIO	No
5	207ZP0213X	Pathology	Pediatric Pathology	35.142296	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0487351	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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