Individual
STACEY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3985 SHADY POINTE ROW, GREENWOOD, IN 46143-8479
(317) 300-1941
Mailing address
3985 SHADY POINTE ROW, GREENWOOD, IN 46143-8479
(317) 300-1941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01064927A
IN
208000000X
Pediatrics Physician
R1083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102425183
ANTHEM PTAN
IN
05
—
200918800
—
IN
Enumeration date
02/21/2007
Last updated
04/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us