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MARK W SMITH MD PLC LLC NPI 1144489444


NPI Information

NPI: 1144489444
Provider Name: MARK W SMITH MD PLC LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14705 W UPRIGHT ST
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-6510
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MARK W SMITH MD PLC LLC is a family medicine in Charlevoix, MI. 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. MARK W SMITH MD PLC LLC NPI is 1144489444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14705 W UPRIGHT ST
CHARLEVOIX, MI
ZIP 49720-949
Phone: (231) 547-6510
Fax: (231) 547-7456

The provider's authorized official is Mark William Smith .
The authorized official title is Managing Member and has the following contact phone number (231) 547-6510.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 1/21/2009.


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
1207Q00000XFamily Medicine4301076489MICHIGANYes

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
1H76753MEDICARE UPINMICHIGAN
28662347331MEDICARE PINMICHIGAN
3B002922530MEDICAIDMICHIGAN

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: 5/5/2024

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