1033791801 NPI number — MR. STEVEN HUGH PATRICK SMITH M.B.B.S.

Table of content: MR. STEVEN HUGH PATRICK SMITH M.B.B.S. (NPI 1033791801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033791801 NPI number — MR. STEVEN HUGH PATRICK SMITH M.B.B.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH
Provider First Name:
STEVEN
Provider Middle Name:
HUGH PATRICK
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.S.
Provider Gender Code:
M

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:
1033791801
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/02/2022
NPI Reactivation Date:
03/17/2022

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
792 EAST ASCOT GREATER PORTMORE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTMORE
Provider Business Mailing Address State Name:
ST CATHERINE
Provider Business Mailing Address Postal Code:
JMACE13
Provider Business Mailing Address Country Code:
JM
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
251 EAST HURON STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-926-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  036167308 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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