DR. LISA A SMITH M.D. NPI 1225022890

NPI Information

NPI: 1225022890
Provider Name: DR. LISA A SMITH, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: UNIVERSITY SURGICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
979 E 3RD ST
STE 300
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 267-0466
Get Directions

DR. Lisa A Smith, M.D. is a pediatric surgery surgery in Chattanooga, TN with 31 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Lisa A Smith, M.D. NPI is 1225022890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

979 E 3RD ST
STE 300
CHATTANOOGA, TN
ZIP 37403-136
Phone: (423) 267-0466
Fax: (423) 757-0775

The NPI 1225022890 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 9/9/2005 and was last updated on 2/18/2019.

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	208600000X	Surgery		MD34792	TENNESSEE	No
2	2086S0120X	Surgery	Pediatric Surgery	MD34792	TENNESSEE	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	2536518	MEDICAID	OHIO
2	4001261	OTHER		BCBS OF TN
3	7613562	MEDICAID	NORTH CAROLINA
4	1246480 002	OTHER		CIGNA
5	1700058	OTHER		UHC
6	370017967	OTHER		RR MEDICARE
7	62165877467	OTHER		JDH
8	00893516A	MEDICAID	GEORGIA
9	009947640	MEDICAID	ALABAMA
10	Q000856	MEDICAID	TENNESSEE

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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