Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962405993 Individual Practitioner Male Practitioner

Dr. David Allen Smith , MD

Surgery - Pediatric Surgery • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. David Smith, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Fort Wayne, IN. Practice services are available at 7613 W JEFFERSON BLVD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7613 W Jefferson Blvd Ste 200

Fort Wayne, IN 468044182

Telephone 2604697337
Fax 2604697340
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Fort Wayne, IN (23 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

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License IN 01040403A

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01040403A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2080877 (OH)
Medicaid State Provider ID
104683309 (MI)
Medicaid State Provider ID
200049180 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Josiah Reish , CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1265047138

CPNPAC

Dr. Jo Cooke-Barber , MD

Surgery - Pediatric Surgery

NPI 1417215922

Doctor of Medicine (M.D.)

Dr. Carey Watson , MD

Surgery - Pediatric Surgery

NPI 1679891097

Doctor of Medicine (M.D.)

Tiffany Gearhart , NP

Nurse Practitioner - Family

NPI 1871242263

Nurse Practitioner

Elizabeth Meyer , PA-C

Physician Assistant

NPI 1902561020

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2014

Registered at 7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 468044182 (Tel: 2604697337)

📍
Updated Business Mailing Address March 31, 2014

Registered at 7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 468044182 (Tel: 2604697337)

👤
Provider Name / Credentials Updated March 31, 2014

Recorded as DAVID SMITH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Surgery (License #01040403A in IN)

🟢
Initial NPI Registration & Enumeration May 23, 2005

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: 1962405993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: March 31, 2014
Sole Proprietor: Yes

Mailing Address

7613 W Jefferson Blvd Ste 200

Fort Wayne, IN 468044182

Phone: 2604697337

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.