John F Smith JR.
Gastroenterologist
161 Waterdam Rd Apt 120
Canonsburg
, Pennsylvania 15317-2572
John F Smith JR.
Gastroenterologist
161 Waterdam Rd Apt 120
Canonsburg
, Pennsylvania 15317-2572
(412) 359-8977
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- John F Smith JR.
- 161 Waterdam Rd Apt 120
- Canonsburg, PA
- Zip : 15317-2572
- Fax : (412) 359-8977
- Phone : (412) 359-8900
Second Address
- John F Smith JR.
- 161 Waterdam Rd Apt 120
- Canonsburg, PA
- Zip : 15317-2572
- Fax : (412) 359-8977
- Phone : (412) 359-8900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD054180L | PA |
National Provider Identifier
| NPI | 1023085719 |
|---|---|
| Provider Name | John F Smith JR. |
| First Address | Canonsburg, PA 15317-2572 |
| Second Address | Canonsburg, PA 15317-2572 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2006 |
| Last Update Date | 18/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001514750 | (05) | PA |
| 11660226 | CAQH (01) | |
| F97769 | (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.