Healthcare Provider Details

I. General information

NPI: 1285085928
Provider Name (Legal Business Name): RACHEL WARSCO SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 01/25/2024
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5180
  • Fax: 412-692-7355
Mailing address:
  • Phone: 412-692-5180
  • Fax: 412-692-7355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61262003
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number61262003
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: