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DR. ANNA JO BODURTHA SMITH MD NPI 1083077952


NPI Information

NPI: 1083077952
Provider Name: DR. ANNA JO BODURTHA SMITH, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

PECOS Registration: Yes

Address:
3400 CIVIC CENTER BLVD FL 3
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3318
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DR. Anna Jo Bodurtha Smith, MD is a gynecologic oncology obstetrics gynecology in Philadelphia, PA with 8 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. DR. Anna Jo Bodurtha Smith, MD NPI is 1083077952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2016

The provider's business location address is:

3400 CIVIC CENTER BLVD FL 3
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-3318
Fax: (215) 349-5680

The NPI 1083077952 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 3/30/2016 and was last updated on 7/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMD470800PENNSYLVANIANo
2207VX0201XObstetrics & GynecologyGynecologic OncologyMD470800PENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.