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1346244100

NPI Code Detail

MEDICARE: S M S DO PA

MEDICARE: S M S DO PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	2084N0400X	Neurology Physician
3	208M00000X	Hospitalist Physician
4	213ES0103X	Foot & Ankle Surgery Podiatrist
5	247100000X	Radiologic Technologist
6	2471C3401X	Computed Tomography Radiologic Technologist
7	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist
8	2471N0900X	Nuclear Medicine Technology Radiologic Technologist
9	363A00000X	Physician Assistant
10	363L00000X	Nurse Practitioner
11	207RC0000X	Cardiovascular Disease Physician
12	207RG0100X	Gastroenterology Physician
13	207RP1001X	Pulmonary Disease Physician
14	207RR0500X	Rheumatology Physician
15	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	CC2311	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0072101	OTHER	FL	GHI
3	219008	OTHER	FL	AVMED
5	00160	OTHER	FL	BLUE CROSS BLUE SHIELD FLORIDA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346244100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S M S DO PA

Provider Business Mailing Address
First Line	:	11528 US HIGHWAY 19
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-1442
Country	:	US
Telephone Number	:	727-868-2151
Fax Number	:	727-868-8251

Provider Business Practice Location Address
First Line	:	11528 US HIGHWAY 19
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-1442
Country	:	US
Telephone Number	:	727-868-2151
Fax Number	:	727-868-8251

Authorized Official
Title or Position	:	SENIOR
Name	:	MICHAEL S STROBBE
Credential	:
Telephone Number	:	727-868-2151

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	06/29/2022

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1447413711 — CHRISTA M. SMITH DPT
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Directions to “S M S DO PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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