# HEATHER J SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265412092
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS005751L | PA | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 08/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011327660002 | — | PA |
| 01 | — | 0082923000 | KEYSTONE EAST | PA |
| 01 | — | 118864300 | U.S. DEPT. OF LABOR | PA |
| 01 | — | 1222543002 | CIGNA PROVIDER ID | PA |
| 01 | — | 137311 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 19252 | UMWA | PA |
| 01 | — | 192525879 | TRICARE | PA |
| 01 | — | 30080581 | KEYSTONE FIRST | PA |
| 01 | — | 4205346 | AETNA PPO | PA |
| 01 | — | 96496 | OPERATOR'S 825 WELFARE | PA |
| 01 | — | P00895494 | RAILROAD MEDICARE | PA |