MEDICARE: CYNTHIA 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	208000000X	Pediatrics Physician	CS045398	MI

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	:	1043311731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA SMITH MD

Provider Business Mailing Address
First Line	:	5024 N ROYAL DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9230
Country	:	US
Telephone Number	:	231-935-0555
Fax Number	:	231-935-0562

Provider Business Practice Location Address
First Line	:	5024 N ROYAL DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9230
Country	:	US
Telephone Number	:	231-935-0555
Fax Number	:	231-935-0562

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	12/30/2020

Similar Medicare Providers

1457357832 — DR. JAMES WALLACE ROBERTSON MD
Practice Location Address:

5024 N ROYAL DR
TRAVERSE CITY, MI
49684-9230

Practice Phone: 231-935-0555
Practice Fax: 231-935-0562

1770577637 — SURGERY CENTER PLC
Practice Location Address:

5080 N ROYAL DR
TRAVERSE CITY, MI
49684-9230

Practice Phone: 231-929-2500
Practice Fax: 231-929-0963

1649291832 — KIDS CREEK CHILDRENS CLINIC PC
Practice Location Address:

5024 N ROYAL DR
TRAVERSE CITY, MI
49684-9230

Practice Phone: 231-935-0555
Practice Fax: 231-935-0562

1336258953 — MRS. CATHERINE DILTS CARTER RN MS CPNP
Practice Location Address:

5024 N ROYAL DR.
TRAVERSE CITY, MI
49684-9230

Practice Phone: 231-935-0555
Practice Fax: 231-935-0562

1710045661 — ALICIA CLASSENS CPNP
Practice Location Address:

5024 N ROYAL DR , KIDS CREEK CHILDREN'S CLINIC
TRAVERSE CITY, MI
49684-9230

Practice Phone: 231-935-0555
Practice Fax: 231-935-0562

1225256324 — THE SURGERY CENTER
Practice Location Address:

5080 N ROYAL DR
TRAVERSE CITY, MI
49684-9230

Practice Phone: 231-929-3888
Practice Fax: 231-929-4365

Directions to “ CYNTHIA 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 © 2007-2025 (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.