Dr. Matthew Joseph Smith
Sports Medicine
1598 S County Trl Ste 100
East Greenwich
, Rhode Island 02818-1762
Dr. Matthew Joseph Smith
Sports Medicine
1598 S County Trl Ste 100
East Greenwich
, Rhode Island 02818-1762
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Matthew Joseph Smith
- Po Box 1119
- Providence, RI
- Zip : 02901-1119
- Phone :
Second Address
- Dr. Matthew Joseph Smith
- 1598 S County Trl Ste 100
- East Greenwich, RI
- Zip : 02818-1762
- Phone : (401) 402-1065
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | MD11107 | RI |
| Y | 213ES0000X | Sports Medicine | MD11107 | RI |
National Provider Identifier
| NPI | 1457345159 |
|---|---|
| Provider Name | Dr. Matthew Joseph Smith |
| First Address | Providence, RI 02901-1119 |
| Second Address | East Greenwich, RI 02818-1762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2005 |
| Last Update Date | 07/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7010557 | (05) | RI |
| H07846 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.