Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 26454 | AL |
NPI | 1013131770 |
---|---|
Provider Name | Joshua Edward Smith |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 15/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009942171 | (05) | AL |
009942172 | (05) | AL |
009942173 | (05) | AL |
009942174 | (05) | AL |
03634509 | (05) | MS |
051540313 | BLUE CROSS (01) | AL |
051540577 | BLUE CROSS (01) | AL |
051540578 | BLUE CROSS (01) | AL |
051540579 | BLUE CROSS (01) | AL |
P00779106 | RAILROAD MEDICARE (01) | AL |
Z08354 | VIVA (01) | AL |