Sam P Smith DO LLC
NPI 1710904636ActiveOrganization· Dermatology· Gilbert, AZ
Dermatology in Gilbert, Arizona, registered in NPPES in July 2006. The authorized official on file is Sam P. Smith, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710904636 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2006 |
| Last updated in NPPES | Aug 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 4237 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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