Healthcare Provider Details

I. General information

NPI: 1396037966
Provider Name (Legal Business Name): CHERYL A SMITH PHD, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 FRANKLIN SQUARE DR STE 302
BALTIMORE MD
21237-3939
US

IV. Provider business mailing address

5 CARDIFF DR
MORGANTOWN WV
26508-4508
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7320
  • Fax: 855-778-6904
Mailing address:
  • Phone: 724-986-1052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberD0106748
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number0101276793
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101276793
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0106748
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: