DR. DAVID R SMITH MD MPH NPI 1902913114

NPI Information

NPI: 1902913114
Provider Name: DR. DAVID R SMITH, MD, MPH
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2636 EASTERN AVE
PLYMOUTH, WI
ZIP 53073
Phone: (920) 893-4010
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DR. David R Smith, MD, MPH is a family medicine in Plymouth, WI. 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. David R Smith, MD, MPH NPI is 1902913114. 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:

2636 EASTERN AVE
PLYMOUTH, WI
ZIP 53073
Phone: (920) 893-4010
Fax: (920) 459-1163

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/7/2023.

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	207Q00000X	Family Medicine		31779-020	WISCONSIN	Yes
2	2083X0100X	Preventive Medicine	Occupational Medicine	31779-020	WISCONSIN	X

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	31659900	MEDICAID	WISCONSIN

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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