Dr. Edward A Smith , MD
Specialist • Peoria, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edward Smith, MD was a registered Specialist practicing in Peoria, IL. Throughout an active medical career spanning 16 years, Dr. Smith provided care at the practice location at 6000 N ALLEN ROAD until profile deactivation on 2021-11-17.
Practice Location & Contact Primary Location
6000 N Allen Road
Peoria, IL 616143294
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Peoria, IL
Practicing in Peoria, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Podiatrist - Foot & Ankle Surgery
Doctor of Podiatric Medicine
Physician Assistant - Surgical
Physical Therapy Assistant
Physical Therapist Assistant
Physician Assistant - Surgical
Physician Assistant (Certified)
Occupational Therapist
Occupational Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 17, 2021
NPI status registered as active in NPPES database
Registered at 6000 N ALLEN ROAD, PEORIA, IL 616143294 (Tel: 3096911400)
Registered at 6000 N ALLEN ROAD, PEORIA, IL 616143294 (Tel: 3096911400)
Recorded as EDWARD SMITH, MD
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6000 N Allen Road
Peoria, IL 616143294
Phone: 3096911400
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