Provider Demographics
NPI:1568532901
Name:SMITH & NEPHEW, INC.
Entity Type:Organization
Organization Name:SMITH & NEPHEW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP AND GM CLINICAL THERAPIES
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:REALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-396-2121
Mailing Address - Street 1:1450 BROOKS RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-1804
Mailing Address - Country:US
Mailing Address - Phone:901-396-2121
Mailing Address - Fax:901-399-1309
Practice Address - Street 1:1450 BROOKS RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-1804
Practice Address - Country:US
Practice Address - Phone:901-396-2121
Practice Address - Fax:901-399-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0355660001Medicare NSC