# DR. CARL ASHLEY SMOOT

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

## Provider details

- **NPI number:** 1861457889
- **Gender:** Man
- **Credential:** DO,FCCP, DABSM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | CS006908 | MI | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | CS006903 | MI | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 11/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1861457889 | INDIVIDUAL NPI | MI |
| 01 | — | 1871663443 | GROUP NPI | MI |
| 05 | — | 2712724 | — | MI |
| 05 | — | 30057800 | — | WI |
| 01 | — | 5220016 | MEDICARE PIN PRIOR 2007 | MI |
| 01 | — | OP39080 | MEDICARE GROUP PIN | MI |
| 01 | — | P39080001 | MEDICARE INDIVIDUAL PIN | MI |