DR. LUCAS CAMDEN SMITH M.D. NPI 1639490063

NPI Information

  • NPI: 1639490063
  • Provider Name: DR. LUCAS CAMDEN SMITH, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17191 BOTHELL WAY NE
    SUITE 205
    LAKE FOREST PARK, WA
    ZIP 98155
  • Phone: (206) 364-8272

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NPI Details

DR. Lucas Camden Smith, M.D. is a family medicine in Lake Forest Park, WA with 15 years of experience. 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. DR. Lucas Camden Smith, M.D. NPI is 1639490063. 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:

17191 BOTHELL WAY NE
SUITE 205
LAKE FOREST PARK, WA
ZIP 98155-250
Phone: (206) 364-8272
Fax: (206) 364-5418

The NPI 1639490063 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hemoglobin a1c level (HCPCS:83036)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 6/21/2010 and was last updated on 2/11/2016.

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 MedicineMT197106PENNSYLVANIANo
2207Q00000XFamily MedicineMD60366138WASHINGTONYes

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: 3/30/2025

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