MEDICARE: DR. BLAINE 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	2085R0202X	Diagnostic Radiology Physician	D0021406	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38110057	OTHER	DC	CAREFIRST BCBS
2	KC46SH42453901	OTHER	MD	CAREFIRST BCBS

General Provider Information

NPI Number	:	1134112428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BLAINE E SMITH MD

Provider Business Mailing Address
First Line	:	PO BOX 404442
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-4442
Country	:	US
Telephone Number	:	804-756-5130
Fax Number	:	804-672-6899

Provider Business Practice Location Address
First Line	:	8601 VETERANS HWY
Second Line	:	SUITE 100
City	:	MILLERSVILLE
State	:	MD
Zip	:	21108-1547
Country	:	US
Telephone Number	:	410-729-4451
Fax Number	:	410-729-4470

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	02/11/2008

Similar Medicare Providers

1164428264 — MR. BAHADOR MOMENI M.D.
Practice Location Address:

8601 VETERANS HWY , STE 211
MILLERSVILLE, MD
21108-1547

Practice Phone: 410-553-8090
Practice Fax: 410-729-2404

1487640041 — DR. JEAN K WARNER MD
Practice Location Address:

8601 VETERANS HWY , SUITE 100
MILLERSVILLE, MD
21108-1547

Practice Phone: 410-729-4451
Practice Fax: 410-729-4470

1861476343 — SHIPLEY'S IMAGING, LLC
Practice Location Address:

8601 VETERANS HWY , SUITE 100
MILLERSVILLE, MD
21108-1547

Practice Phone: 410-729-4451
Practice Fax: 410-729-4470

1013982248 — DR. ELLEN BREEN CASSIDY MD
Practice Location Address:

8601 VETERANS HWY , STE 204
MILLERSVILLE, MD
21108-1547

Practice Phone: 410-553-8092
Practice Fax:

1912960501 — ANDRE BOJAN GVOZDEN M.D.
Practice Location Address:

8601 VETERANS HWY , SUITE 200
MILLERSVILLE, MD
21108-1547

Practice Phone: 410-729-0690
Practice Fax: 410-729-4057

1346285061 — MOHIT SINGH NEGI M.D.
Practice Location Address:

8601 VETERANS HWY , SUITE 204
MILLERSVILLE, MD
21108-1547

Practice Phone: 410-553-8092
Practice Fax:

Directions to “ DR. BLAINE 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.