MEDICARE: DR. JOSHUA S. SMITH M.D.

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	207RA0401X	Addiction Medicine (Internal Medicine) Physician	4301088594	MI
2	207Q00000X	Family Medicine Physician	4301088594	MI

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	:	1730208166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA S. SMITH M.D.

Provider Business Mailing Address
First Line	:	6733 WEST MAPLE RD
Second Line	:	SUITE 114
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322
Country	:	US
Telephone Number	:	248-661-6100
Fax Number	:	248-788-3177

Provider Business Practice Location Address
First Line	:	6733 WEST MAPLE RD
Second Line	:	SUITE 114
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322
Country	:	US
Telephone Number	:	248-661-6100
Fax Number	:	248-788-3177

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	05/27/2025

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