MICHAEL DAVID SMITH M.D. NPI 1902835374

NPI Information

NPI: 1902835374
Provider Name: MICHAEL DAVID SMITH, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
40107 HIGHWAY 27
DAVENPORT, FL
ZIP 33837
Phone: (863) 419-0692
Get Directions

Michael David Smith, M.D. is a radiation oncology radiology in Davenport, FL with 37 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Michael David Smith, M.D. NPI is 1902835374. 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:

40107 HIGHWAY 27
DAVENPORT, FL
ZIP 33837-901
Phone: (863) 419-0692
Fax: (863) 419-1695

The NPI 1902835374 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 6/30/2006 and was last updated on 4/1/2024.

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	2085R0001X	Radiology	Radiation Oncology	TL3100	WYOMING	No
2	2085R0001X	Radiology	Radiation Oncology	01036913A	INDIANA	No
3	2085R0001X	Radiology	Radiation Oncology	H5682	TEXAS	No
4	2085R0001X	Radiology	Radiation Oncology	MD60295642	WASHINGTON	No
5	2085R0001X	Radiology	Radiation Oncology	021562	TENNESSEE	No
6	2085R0001X	Radiology	Radiation Oncology	103176	FLORIDA	Yes
7	2085R0001X	Radiology	Radiation Oncology	MD-9852	HAWAII	No

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	5104065	OTHER	FLORIDA	AETNA
2	P116158	OTHER	FLORIDA	FREEDOM HEALTH
3	1459L	OTHER	FLORIDA	BCBS FL
4	200259350	MEDICAID	INDIANA
5	P306917	OTHER	FLORIDA	OPTIMUM
6	10L838	OTHER	FLORIDA	HEALTHY KIDS THRU COMMUNITY HEALTH PARTNERS
7	6067119	OTHER	FLORIDA	CIGNA
8	P01174095	OTHER	FLORIDA	RAILROAD MCR
9	P513688	MEDICAID	FLORIDA
10	003674000	MEDICAID	FLORIDA
11	364004	OTHER	FLORIDA	AVMED

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: 5/5/2024

NPI Synchronization or Removal

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