MEDICARE: ROBERT PAUL 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	207P00000X	Emergency Medicine Physician	35053661S	OH
2	207P00000X	Emergency Medicine Physician	MD459087	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	1740241686	OTHER	OH	MEDICARE NPI

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740241686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT PAUL SMITH MD

Provider Business Mailing Address
First Line	:	4002 PENNYFIELDS LOCK CT
Second Line	:
City	:	POINT OF ROCKS
State	:	MD
Zip	:	21777-2083
Country	:	US
Telephone Number	:	216-496-4686
Fax Number	:

Provider Business Practice Location Address
First Line	:	4002 PENNYFIELDS LOCK CT
Second Line	:
City	:	POINT OF ROCKS
State	:	MD
Zip	:	21777-2083
Country	:	US
Telephone Number	:	216-496-4686
Fax Number	:

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

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	12/13/2016

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Directions to “ ROBERT PAUL SMITH MD” Practice Location

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