Individual
CHARLES E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35056230
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35056230
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35056230
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35056230
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35056230
OH
207LP3000X
Pediatric Anesthesiology Physician
35056230
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231011
UNISON
OH
01
—
000000549916
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
0753126
—
OH
01
—
364029
WELLCARE MEDICAID
OH
01
—
4326389
AETNA
OH
01
—
752873
BUCKEYE MEDICAID
OH
01
—
P00469474
MEDICARE RAILROAD
OH
Enumeration date
07/12/2006
Last updated
12/27/2021
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