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Individual
DR. JOHN MICHAEL SMITH
Active
Individual
DR. JOHN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35067018S
OH
208600000X
Surgery Physician
35492
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35067018S
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064644
ANTHEM
—
05
—
0219454
—
OH
01
—
1800135
UNITEDHEALTHCARE
—
05
—
200328230B
—
IN
01
—
310804060029
CARESOURCE
—
05
—
64960842
—
KS
01
—
67018
CHOICE CARE/HUMANA
—
01
—
8330
KY BCBS
—
05
—
913231700
—
FL
Enumeration date
07/10/2006
Last updated
10/28/2020
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