MEDICARE: IAN 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	207RI0011X	Interventional Cardiology Physician	20028	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20028	OTHER	SC	SC MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306869060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN SMITH MD

Provider Business Mailing Address
First Line	:	7182 WOODROW ST STE 200
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-2958
Country	:	US
Telephone Number	:	803-749-1111
Fax Number	:	803-749-0050

Provider Business Practice Location Address
First Line	:	1 WELLNESS BLVD STE 109
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-2872
Country	:	US
Telephone Number	:	803-749-1111
Fax Number	:	803-749-0050

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/05/2024

Similar Medicare Providers

1487652442 — ADVANCED DIAGNOSTICS, INC.
Practice Location Address:

1 WELLNESS BLVD STE 105
IRMO, SC
29063-2872

Practice Phone: 803-419-4235
Practice Fax: 803-419-4236

1427057009 — DR. DANIEL P BOUKNIGHT MD.
Practice Location Address:

1 WELLNESS BLVD STE 106
IRMO, SC
29063-2872

Practice Phone: 803-888-2282
Practice Fax: 803-888-2299

1265434088 — MRS. MELISSA ROWLAND N. P.
Practice Location Address:

1 WELLNESS BLVD STE 106
IRMO, SC
29063-2872

Practice Phone: 803-888-2282
Practice Fax: 803-888-2299

1346208568 — DR. SURBJINDER S GURAM MD
Practice Location Address:

1 WELLNESS BLVD STE 109
IRMO, SC
29063-2872

Practice Phone: 803-749-1111
Practice Fax: 803-749-0050

1871542779 — DR. JOEL WESLEY DUNCAN MD
Practice Location Address:

1 WELLNESS BLVD STE 109
IRMO, SC
29063-2872

Practice Phone: 803-749-1111
Practice Fax: 803-749-0050

1003861337 — CSC ACQUISITION, LLC
Practice Location Address:

1 WELLNESS BLVD STE 109
IRMO, SC
29063-2872

Practice Phone: 803-779-7316
Practice Fax: 803-343-2538

Directions to “ IAN 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.