Provider Demographics
NPI:1497854905
Name:DRS. SMITH & STEWART
Entity Type:Organization
Organization Name:DRS. SMITH & STEWART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:617-527-8186
Mailing Address - Street 1:10 LANGLEY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1972
Mailing Address - Country:US
Mailing Address - Phone:617-527-8186
Mailing Address - Fax:617-965-0820
Practice Address - Street 1:10 LANGLEY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1972
Practice Address - Country:US
Practice Address - Phone:617-527-8186
Practice Address - Fax:617-965-0820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1461213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA33099OtherLSS PILGRIM NUMBER
MA0009413OtherNEIGHBORHOOD HEALTH
MA0860818-001OtherJ. STEWART'S CIGNA NUMBER
MA33101OtherJPS PILGRIM #
MA701643OtherTUFTS GROUP NUMBER
MA0083230-001OtherL. SMITH'S CIGNA NUMBER
MA0093925OtherJPS AETNA NUMBER
MA700541OtherLSS TUFTS IND. #
MAS007950OtherCHAMPUS
MA0087833OtherLSS AETNA NUMBER
MA701627OtherJPS TUFTS IND. #
MA9721975Medicaid
MA0860818-001OtherJ. STEWART'S CIGNA NUMBER
MA9721975Medicaid
MA0009413OtherNEIGHBORHOOD HEALTH
MA0199810001Medicare NSC