1962720748 NPI number — ROGER M.F. SMITH, MD PC

Table of content: DR. DANIEL JAMES ORNDORF D.C. (NPI 1750652210)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962720748 NPI number — ROGER M.F. SMITH, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROGER M.F. SMITH, MD PC
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:
1962720748
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4125 LANDISVILLE ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOYLESTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18902-1131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-348-2368
Provider Business Mailing Address Fax Number:
215-348-8650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4125 LANDISVILLE ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOYLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18902-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-348-2368
Provider Business Practice Location Address Fax Number:
215-348-8650
Provider Enumeration Date:
05/04/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
ROGER
Authorized Official Middle Name:
M.F.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-348-2368

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  MD-0009371E , 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)