Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENISE M SMITH, DO
DeactivatedFamily Medicine · FORT WAYNE, IN
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912907445
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2005 (0.64931506849315 yrs)
- Last Updated
- Nov 2, 2021
- Deactivated
- Mar 21, 2006
- License
-
02001605 (IN)
Practice Information
- Address
-
1211 W STATE BLVDFORT WAYNE, IN, 468083103Browse IN providers · Browse ZIP 46808
- Phone
- 2604220010
- Fax
- 2604222212
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH ROBERT HUGUENARD | MD | 1598767782 |
| TODD ROBERT PAGE | MD | 1184622367 |
| LYNN VAN VALER FAUR | MD | 1326047721 |
| WILLIAM D GOUDY | D.O. | 1568462935 |
| ,BIRUTE L PUMPUTIS | MD | 1326048455 |
| DR. JEFFREY E GLADD | M.D. | 1780685768 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.