Provider Demographics
NPI:1154333532
Name:READ-SMITH, SAMANTHA TIMMONS (MD)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:TIMMONS
Last Name:READ-SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:CURTIS
Other - Last Name:TIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:509 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4601
Mailing Address - Country:US
Mailing Address - Phone:828-213-0273
Mailing Address - Fax:866-285-9740
Practice Address - Street 1:509 BILTMORE AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4601
Practice Address - Country:US
Practice Address - Phone:828-213-0273
Practice Address - Fax:866-285-9740
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME016368208M00000X, 207R00000X
NC2011-00625208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204929Medicaid
ME413430099Medicaid
MEP00157304Medicare PIN
MEP00449030Medicare PIN
MEME0878Medicare PIN
ME413430099Medicaid
MEME087801Medicare PIN