PAUL GORDON SMITH M.D. NPI 1174583173

NPI Information

  • NPI: 1174583173
  • Provider Name: PAUL GORDON SMITH, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 5333 MCAULEY DRIVE
    SUITE 4003
    YPSILANTI, MI
    ZIP 48197
  • Phone: (734) 712-3470

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NPI Details

Paul Gordon Smith, M.D. is a nephrology internal medicine in Ypsilanti, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Paul Gordon Smith, M.D. NPI is 1174583173. 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:

5333 MCAULEY DRIVE
SUITE 4003
YPSILANTI, MI
ZIP 48197-099
Phone: (734) 712-3470
Fax: (734) 712-2935

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/9/2011.

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
1207RN0300XInternal MedicineNephrology4301040968MICHIGANYes

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
1OM88750007MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2B45171MEDICARE UPINMICHIGAN
34261954-10MEDICAIDMICHIGAN

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: 11/21/2025

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