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1710948799

NPI Code Detail

MEDICARE: DR. DAVID MATTHEW BEAMAN SMITH MD

MEDICARE: DR. DAVID MATTHEW BEAMAN SMITH MD

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	036145192	IL
2	207Q00000X	Family Medicine Physician	37797	AZ
3	207Q00000X	Family Medicine Physician	MD153356	OR
4	207Q00000X	Family Medicine Physician	10922A	WY
5	208M00000X	Hospitalist Physician	10922A	WY
6	208M00000X	Hospitalist Physician	MD153356	OR
7	208M00000X	Hospitalist Physician	036145192	IL
8	207Q00000X	Family Medicine Physician	200400752	NC

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

General Provider Information

NPI Number	:	1710948799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MATTHEW BEAMAN SMITH MD

Provider Business Mailing Address
First Line	:	2100 W SUNSET DR
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-2274
Country	:	US
Telephone Number	:	307-856-4161
Fax Number	:	307-857-5212

Provider Business Practice Location Address
First Line	:	68 HOSPITAL RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2722
Country	:	US
Telephone Number	:	828-586-7000
Fax Number	:	828-586-7467

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. DAVID MATTHEW BEAMAN SMITH MD” Practice Location

Language	Start Address	Practice Location

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