CHRISTOPHER MATTHEW SMITH M.D. NPI 1164610101

NPI Information

NPI: 1164610101
Provider Name: CHRISTOPHER MATTHEW SMITH, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13402 CREEKVIEW RD
PROSPECT, KY
ZIP 40059
Phone: (502) 619-4131
Get Directions

Christopher Matthew Smith, M.D. is a general practice in Prospect, KY with 17 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Christopher Matthew Smith, M.D. NPI is 1164610101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

13402 CREEKVIEW RD
PROSPECT, KY
ZIP 40059-028
Phone: (502) 619-4131
Fax: (502) 919-9780

The NPI 1164610101 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 10/3/2007 and was last updated on 10/19/2023.

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	207P00000X	Emergency Medicine		43824	KENTUCKY	No
2	207PH0002X	Emergency Medicine	Hospice and Palliative Medicine	01076713A	INDIANA	No
3	207PH0002X	Emergency Medicine	Hospice and Palliative Medicine	43824	KENTUCKY	No
4	208D00000X	General Practice		01076713A	INDIANA	No
5	208D00000X	General Practice		43824	KENTUCKY	Yes

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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