MARK W SMITH MD NPI 1104914761

NPI Information

NPI: 1104914761
Provider Name: MARK W SMITH, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: THE POLYCLINIC

PECOS Registration: Yes

Address:
1145 BROADWAY
SEATTLE, WA
ZIP 98122
Phone: (206) 329-1760
Get Directions

Mark W Smith, MD is a hospitalist in Seattle, WA with 22 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Mark W Smith, MD NPI is 1104914761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1145 BROADWAY
SEATTLE, WA
ZIP 98122-201
Phone: (206) 329-1760

The NPI 1104914761 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 10/10/2006 and was last updated on 5/10/2017.

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	207R00000X	Internal Medicine		MD00045081	WASHINGTON	No
2	208M00000X	Hospitalist		MD00045081	WASHINGTON	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	I34210	MEDICARE UPIN
2	0138SM	OTHER	WASHINGTON	BLUE SHIELD #
3	0039581	OTHER	WASHINGTON	LABOR AND INDUSTRIES #
4	US7684713	OTHER	WASHINGTON	AETNA SPECIALIST PIN
5	G8936266	MEDICARE UPIN	WASHINGTON
6	1002568	MEDICAID	WASHINGTON
7	A8430746	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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