DAVID SMITH MD
NPI 1083862932
General Practice in Peru, NY

Active since September 04, 2008
9 ELM ST, PERU, NY 12972(518) 643-7037(518) 643-2125 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David Smith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID SMITH MD (NPI 1083862932) is a healthcare organization registered as a general practice in Peru, New York and active in the NPI registry since September 2008. The organization lists Vikki Laidman, Billing Mgr, as its authorized official.

NPPES Registry Identity

NPI1083862932
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDAVID SMITH MD
Location Address9 ELM STPeru, NY 12972-2812
Mailing AddressPo Box 599, 9 Elm StreetPeru, NY 12972-0599 · (518) 643-7037 · Fax (518) 643-2125
Fax(518) 643-2125
Organization SubpartNo
Authorized OfficialVikki LaidmanBilling Mgr · (518) 563-8290
Enumeration DateSeptember 4, 2008
NPI 1083862932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 190218
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9 ELM ST, Peru, NY 12972

Other Identifiers 2

Medicare PINAA0602NY
Medicaid01354865NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9 ELM ST
PERU, NY 12972
Internal Medicine
9 ELM ST
PERU, NY 12972

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083862932, enumerated as an "organization" on September 04, 2008.

The provider is located at 9 ELM ST PERU, NY 12972 and the phone number is (518) 643-7037.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.