NPI Code Detail JSON Logo

1952370587 NPI number — DEVON D. SMITH M.D.

NPI Number: 1952370587
Health Care Provider/Practitioner: DEVON D. SMITH M.D.

Information about “1952370587” NPI (DEVON D. SMITH M.D.) exists in 1952370587 in HTML format HTML  |  1952370587 in plain Text format TXT  |  1952370587 in PDF (Portable Document Format) PDF  |  1952370587 in an XML format XML  formats.

NPI Number : 1952370587 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952370587",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "DEVON",
    "MiddleName": "D.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1621 W MORRIS BLVD STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORRISTOWN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37813-2967",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "432-307-8088",
    "MailingAddressFaxNumber": "423-307-8049",
    "FirstLinePracticeLocationAddress": "1621 W MORRIS BLVD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORRISTOWN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37813",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "432-307-8088",
    "PracticeLocationAddressFaxNumber": "423-307-8049",
    "EnumerationDate": "03/16/2006",
    "LastUpdateDate": "06/12/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "21152",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "21152",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "21152",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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