MEDICARE: DR. WILLIAM L. SMEAD M.D.

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	2086S0129X	Vascular Surgery Physician	35041803	OH

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	:	1265489553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM L. SMEAD M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD
Second Line	:	SUITE 350
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-885-6856
Fax Number	:	614-885-4296

Provider Business Practice Location Address
First Line	:	4830 KNIGHTSBRIDGE BLVD
Second Line	:	SUITE G
City	:	COLUMBUS
State	:	OH
Zip	:	43214-2300
Country	:	US
Telephone Number	:	614-885-6856
Fax Number	:	614-885-4296

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	10/12/2009

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