David Allen Smith in Fort Wayne - Pediatric Surgery
David Allen Smith - NPI 1962405993
David Allen Smith is a Pediatric Surgery in Fort Wayne, Indiana. David Allen Smith practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for David Allen Smith is 1962405993. The last update date is 2014-03-31.
David Allen Smith's current location address is 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana. You can contact this provider via phone number 2604697337 and fax number 2604697340. The mailing address for David Allen Smith is 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Allen Smith |
|---|---|
| Address | 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana |
| Phone Number | 2604697337 |
| Fax Number | 2604697340 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962405993 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2014-03-31 |
Provider Mailing Address Detail
| Address | 7613 W Jefferson Blvd Ste 200 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4680441820 |
| Phone Number | 2604697337 |
| Fax Number | 2604697340 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 01040403A |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2080877 | OH | -- | |
| 104683309 | MI | -- | |
| 200049180 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Allen Smith?
The David Allen Smith has been issued the NPI (National Provider Identifier) 1962405993 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Allen Smith?
The David Allen Smith is physically situated at 7613 W Jefferson Blvd Ste 200, in the city of Fort Wayne, state of IN, with the postal code 4680441820.
What is David Allen Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Allen Smith's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962405993 to David Allen Smith?
The Centers for Medicare & Medicaid Services assigned the 1962405993 to David Allen Smith on 2005-05-23.
As of what date was the information pertaining to David Allen Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Allen Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-31.