MEDICARE: CURTIS A. SMITH, D.O.

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	207Q00000X	Family Medicine Physician	C20003304	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2755512000	OTHER	DE	AMERIHEALTH
2	32235	OTHER	DE	COVENTRY
3	0898315	OTHER	DE	AETNA
4	824118	OTHER	DE	MAMSI OPTIMUM CHOICE
5	4364077	OTHER	DE	AETNA
6	000000208521	OTHER	DE	UNISON
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669545968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURTIS A. SMITH, D.O.

Provider Business Mailing Address
First Line	:	314 S CENTRAL AVE
Second Line	:
City	:	LAUREL
State	:	DE
Zip	:	19956-1525
Country	:	US
Telephone Number	:	302-875-6800
Fax Number	:	302-875-6803

Provider Business Practice Location Address
First Line	:	314 S CENTRAL AVE
Second Line	:
City	:	LAUREL
State	:	DE
Zip	:	19956-1525
Country	:	US
Telephone Number	:	302-875-6800
Fax Number	:	302-875-6803

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CURTIS A SMITH
Credential	:	D.O.
Telephone Number	:	302-875-6800

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	05/22/2008

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