Individual
JOSEPH F SMIDDY
Active
Individual
JOSEPH F SMIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101018713
VA
207RP1001X
Pulmonary Disease Physician
Primary
33413
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006014267
VIRGINIA MEDICAID
VA
01
—
055803
ANTHEM
VA
01
—
100023154
PHP TENN CARE
TN
01
—
1738991
UNITED HEALTHCARE
TN
01
—
2005685
BLUE CROSS BLUE SHIELD
TN
05
—
3153299
—
TN
01
—
5983040
AETNA
TN
01
—
62134825602
JOHN DEERE HEALTHCARE
TN
01
—
64740723
KENTUCKY MEDICAID
KY
01
—
C05950
TRAILBLAZER GROUP PTAN
VA
Enumeration date
05/16/2006
Last updated
07/24/2019
Update your record
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