Smith, Timothy W.
Smith, Timothy W. is an individual health care provider with primary practice located at 1004 Carondelet Dr Ste 300 , Kansas City MO 64114-4858. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Smith, Timothy W. can be contacted via phone (816) 942-4500.Contact Information
Primary practice address
1004 Carondelet Dr Ste 300
Kansas City MO 64114-4858
Phone: (816) 942-4500
Fax: (816) 941-4504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R8020 | Missouri |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | R8020 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 04-16543 | Kansas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | R8020 | Missouri |
Profile Details
| NPI number | 1972680627 |
|---|---|
| LBN Legal business name | Smith, Timothy W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972680627 | NPPES |
| Kansas | MEDICAID | 100168550C | |
| Kansas | MEDICAID | SM516703 | |
| Kansas | MEDICAID | 202740700 | |
| Kansas | Other | 14171042 | |
| Kansas | MEDICAID | 1972680627 |
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