Provider Demographics
NPI:1932193380
Name:SMOKER, CHAD E (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:E
Last Name:SMOKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-8943
Mailing Address - Country:US
Mailing Address - Phone:828-765-6101
Mailing Address - Fax:828-765-2383
Practice Address - Street 1:88 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-8943
Practice Address - Country:US
Practice Address - Phone:828-765-6101
Practice Address - Fax:828-765-2383
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2003-00530207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134J1Medicaid
H42697Medicare UPIN
2016557Medicare ID - Type Unspecified