Dr. Wendel J Smith
Cardiothoracic Vascular Surgeon
3015 N 33rd St
Tacoma
, Washington 98407-6420
Dr. Wendel J Smith
Cardiothoracic Vascular Surgeon
3015 N 33rd St
Tacoma
, Washington 98407-6420
(253) 200-0907
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Wendel J Smith
- 2410 17th St Nw Unit 307
- Washington, DC
- Zip : 20009-2764
- Fax : (253) 200-0907
- Phone : (206) 669-6610
Second Address
- Dr. Wendel J Smith
- 3015 N 33rd St
- Tacoma, WA
- Zip : 98407-6420
- Fax : (253) 200-0907
- Phone : (253) 759-8500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD00036712 | WA |
National Provider Identifier
| NPI | 1043256779 |
|---|---|
| Provider Name | Dr. Wendel J Smith |
| First Address | Washington, DC 20009-2764 |
| Second Address | Tacoma, WA 98407-6420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 19/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0191192 | STATE L&I (01) | WA |
| 8231649 | (05) | WA |
| E59808 | (02) |
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.