| NPI | 1306830484 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-09-06 |
| Last Updated | 2023-03-07 |
| Mailing Address | 139 Sandwich St Plymouth, MA 02360-2449 United States Phone: (508) 743-9543 | Fax: (508) 743-8335 📍 View Map |
| Primary Practice Address | 2 Technology Park Dr Bourne, MA 02532-8341 United States Phone: (508) 743-9543 | Fax: (508) 743-8335 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02769928 | - |
| Other (non-Medicare) | NY | 223770 | state license |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | NY | 223770 |
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About NPI 1306830484
Michael J Smith D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306830484. The primary specialty listed is Family Medicine. The provider is located in Bourne, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306830484?
NPI 1306830484 belongs to Michael J Smith D.O., a Family Medicine in Bourne, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306830484 active?
The current status of NPI 1306830484 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1306830484?
NPI 1306830484 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306830484?
You can verify NPI 1306830484 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306830484?
The primary practice address on file for NPI 1306830484 is 2 Technology Park Dr, Bourne, MA 02532-8341. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306830484 issued?
NPI 1306830484 was first issued (enumerated) on 2005-09-06. The NPPES record was last updated on 2023-03-07.
Practice Location Map
Michael J Smith is located at 2 Technology Park Dr, Bourne, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Michael J Smith. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1306830484. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 223770 | NY |