Healthcare Provider Details

I. General information

NPI: 1053573733
Provider Name (Legal Business Name): CARRIE A. SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N US 31 STE C
WHITELAND IN
46184-1546
US

IV. Provider business mailing address

PO BOX 800
FRANKLIN IN
46131-0800
US

V. Phone/Fax

Practice location:
  • Phone: 317-530-3111
  • Fax: 317-738-0737
Mailing address:
  • Phone: 317-736-3572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01067901A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: