Provider Demographics
NPI:1437334745
Name:SMINK, GAYLE MONICA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:MONICA
Last Name:SMINK
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:MONICA
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4346962080P0207X
NC2013-014892080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC180E8OtherBCBS NC
NC1437334745Medicaid
NC1437334745Medicaid
NC180E8OtherBCBS NC