DR. MARK KEITH SMITH MD NPI 1154328433

NPI Information

NPI: 1154328433
Provider Name: DR. MARK KEITH SMITH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9969 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 690-2273
Get Directions

DR. Mark Keith Smith, MD is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark Keith Smith, MD NPI is 1154328433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9969 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78240-106
Phone: (210) 690-2273
Fax: (210) 581-8209

The NPI 1154328433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 11/1/2011.

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	207Q00000X	Family Medicine		G8976	TEXAS	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	1255309-04	MEDICAID	TEXAS
2	2929872004	OTHER		CIGNA POS
3	873571	OTHER		ONE HEALTH
4	2044061	OTHER		AETNA
5	16167-0010	OTHER		PACIFICARE
6	C22005	MEDICARE UPIN
7	8965J7	MEDICARE ID-TYPE UNSPECIFIED
8	85276Y	OTHER		BCBS
9	737803	OTHER		HUMANA GOLD
10	2322005	OTHER		BLUELINK
11	2929822005	OTHER		CIGNA HMO

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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