1538281811 NPI number — HUGH S. SMITH, PH.D. & ASSOCIATES, P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538281811 NPI number — HUGH S. SMITH, PH.D. & ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUGH S. SMITH, PH.D. & ASSOCIATES, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538281811
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1831 LITITZ PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17601-6501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-391-6808
Provider Business Mailing Address Fax Number:
717-391-0709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1831 LITITZ PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-6501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-391-6808
Provider Business Practice Location Address Fax Number:
717-391-0709
Provider Enumeration Date:
04/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
HUGH
Authorized Official Middle Name:
SANFORD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
717-391-6808

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PS-008355-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001418443 . This is a "BLUE SHIELD ID#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 349221000 . This is a "MAGELLAN ID#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0018271920006 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7034387 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 236197 . This is a "VALUE BH ID#" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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