Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1154482602 Deactivated / Inactive NPI Male Practitioner

Phillip W. Smith William Smith

Contractor - Vehicle Modifications • Evansville, IN

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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, Phillip W. Smith Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2006
NPI Deactivation Date April 05, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Phillip W. Smith Smith was a registered Contractor - Vehicle Modifications practicing in Evansville, IN. Throughout an active medical career spanning 17 years, Phillip W. Smith Smith provided care at the practice location at 2131 S KENTUCKY AVE until profile deactivation on 2023-04-05.

Practice Location & Contact Primary Location

Practice Address

2131 S Kentucky Ave

Evansville, IN 477144520

Telephone 8124222605
Fax 8124243747

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor - Vehicle Modifications in Evansville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Evansville, IN (4 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor - Vehicle Modifications Primary Specialty

NUCC Taxonomy Code: 171WV0202X

State License IN 0002109409

A contractor who makes modifications to private vehicles to accommodate a health condition.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2131 S KENTUCKY AVE, EVANSVILLE, IN 477144520 (Tel: 8124222605)

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Updated Business Mailing Address July 09, 2007

Registered at 2131 S KENTUCKY AVE, EVANSVILLE, IN 477144520 (Tel: 8124222605)

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Provider Name / Credentials Updated July 09, 2007

Recorded as PHILLIP W. SMITH SMITH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Contractor (License #0002109409 in IN)

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Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154482602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: July 09, 2007
Deactivation Date: April 05, 2023

Mailing Address

2131 S Kentucky Ave

Evansville, IN 477144520

Phone: 8124222605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.