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NPI Code Detail

MEDICARE: MATTHEW D. SMITH MD

MEDICARE: MATTHEW D. 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
1207P00000XEmergency Medicine PhysicianBS9316527MD
2207P00000XEmergency Medicine Physician35.138305OH

General Provider Information

NPI Number : 1538270376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW D. SMITH MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1430 COLUMBUS AVE
Second Line :
City : WASHINGTON COURT HOUSE
State : OH
Zip : 43160-1703
Country : US
Telephone Number : 740-335-1210
Fax Number : 614-293-2809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/21/2025

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