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NPI Code Detail

MEDICARE: DR. SKYLER TATE SMITH M.D.

MEDICARE: DR. SKYLER TATE SMITH 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
1207R00000XInternal Medicine Physician35.099271OH
2207R00000XInternal Medicine Physician26179WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881829349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SKYLER TATE SMITH M.D.
Provider Business Mailing Address
First Line : 1340 HAL GREER BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3804
Country : US
Telephone Number : 304-399-6727
Fax Number : 304-399-6726
Provider Business Practice Location Address
First Line : 1340 HAL GREER BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3804
Country : US
Telephone Number : 304-399-6727
Fax Number : 304-399-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2009
Last Update Date : 04/28/2026

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Directions to “ DR. SKYLER TATE SMITH M.D.” Practice Location

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