Individual
DR. MARK A SMITH
Active
Individual
DR. MARK A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD042036E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015159270001
—
PA
01
—
01983901
CAPITAL BLUE CROSS
PA
01
—
1000010194
RAILROAD MEDICARE
PA
01
—
1523749
GATEWAY-WMG
PA
01
—
30089001
AMERIHEALTH MERCY-WMG
PA
01
—
416568
UPMC-WMG
PA
01
—
627382
HIGHMARK BLUE SHIELD
PA
01
—
973501
CAREFIRST MD BCBS-WMG
MD
Enumeration date
07/08/2005
Last updated
02/28/2014
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