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DR. JERRY D SMILACK M.D.
NPI 1720061617
Internal Medicine - Infectious Disease in Phoenix, AZ

Active since November 23, 2005
5779 E MAYO BLVD, PHOENIX, AZ 85054(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry D Smilack M.d. NPPES

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

DR. JERRY D SMILACK M.D. (NPI 1720061617) is an individual infectious disease provider in Phoenix, Arizona, licensed in Arizona (16720) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1720061617
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JERRY D SMILACKCredential: M.D.
Location Address5779 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address5779 E Mayo BlvdPhoenix, AZ 85054-4502 · (480) 301-8000
Phone(480) 301-8000
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateOctober 31, 2007
✔ NPI 1720061617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in AZ · 16720
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5779 E MAYO BLVD, Phoenix, AZ 85054
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Other Identifiers 4

Medicare PINZ11WCGTB14AZ
Medicaid329690AZ
Other86080015085259A197AZ · Triwest
Medicare UPINC21909

Other Providers at the Same Location NPPES 20

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

DR. DONALD E NOVICKI M.D.
Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DR. TODD A KILE M.D.
Orthopaedic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DAVID M MUMMA P.A.-C.
Physician Assistant (Surgical)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DR. SCOTT K SWANSON M.D.
Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
MATTHEW JAMES VAN LIGTEN
Student in an Organized Health Care Education/Training Program
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (507) 284-2020
DR. ROBERT STUART FOWLER M.D.
Obstetrics & Gynecology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
HASAN KHAMASH MD
Internal Medicine (Nephrology)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000
DR. ANTHONY A SMITH M.D.
Plastic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054
Maricopa County (480) 301-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Smilack's NPI number?

The NPI number for Jerry Smilack is 1720061617. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Jerry Smilack located?

Jerry Smilack practices at 5779 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 301-8000.

What is Jerry Smilack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Jerry Smilack was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.