LYLE D SMITH MD NPI 1508847062

NPI Information

NPI: 1508847062
Provider Name: LYLE D SMITH, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2020 CENTRAL AVE
DODGE CITY, KS
ZIP 67801
Phone: (620) 227-1371
Get Directions

Lyle D Smith, MD is a pediatrics in Dodge City, KS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Lyle D Smith, MD NPI is 1508847062. 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:

2020 CENTRAL AVE
DODGE CITY, KS
ZIP 67801-000
Phone: (620) 227-1371
Fax: (620) 227-1208

The enumeration date for this NPI number is 11/10/2005 and was last updated on 1/28/2013.

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	208000000X	Pediatrics		04 24456	KANSAS	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
1	100144060A	MEDICAID	KANSAS
2	45376SM	MEDICARE ID-TYPE UNSPECIFIED	KANSAS
3	A03723	MEDICARE UPIN

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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