MEDICARE: DIANE E SMITH MD

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	207R00000X	Internal Medicine Physician	042212	CT
2	207R00000X	Internal Medicine Physician	0420013392	VT
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	MD09423	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	U400473648	OTHER	RI	MEDICARE

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	:	1003893322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE E SMITH MD

Provider Business Mailing Address
First Line	:	140 HOSPITAL DR
Second Line	:	SUITE 108
City	:	BENNINGTON
State	:	VT
Zip	:	05201-5009
Country	:	US
Telephone Number	:	802-447-5519
Fax Number	:	802-447-5657

Provider Business Practice Location Address
First Line	:	100 KENYON AVE
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4216
Country	:	US
Telephone Number	:	401-782-8000
Fax Number	:

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	06/08/2018

Similar Medicare Providers

1417954199 — DR. GERALD A COLVIN DO
Practice Location Address:

100 KENYON AVE
WAKEFIELD, RI
02879-4216

Practice Phone: 401-783-6670
Practice Fax: 401-789-4990

1700883568 — PATRICIA A KARWAN NP
Practice Location Address:

100 KENYON AVE , COMPREHENSIVE CANCER CENTER
WAKEFIELD, RI
02879-4216

Practice Phone: 401-783-6670
Practice Fax: 401-789-4990

1285618009 — MRS. KIMBERLY ANN COX MD
Practice Location Address:

100 KENYON AVE
WAKEFIELD, RI
02879-4216

Practice Phone: 401-782-8000
Practice Fax:

1841270303 — SOUTH COUNTY RADIATION THERAPY, LLC
Practice Location Address:

142 KENYON AVE
WAKEFIELD, RI
02879-4216

Practice Phone: 401-284-0850
Practice Fax: 401-284-0860

1407825904 — TIMOTHY DRURY M.D.
Practice Location Address:

100 KENYON AVE
WAKEFIELD, RI
02879-4216

Practice Phone: 508-675-7535
Practice Fax: 508-675-7905

1992765713 — NANCY FELTY MORIN MD
Practice Location Address:

100 KENYON AVE
WAKEFIELD, RI
02879-4216

Practice Phone: 401-783-6670
Practice Fax: 401-789-4990

Directions to “ DIANE E SMITH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.