Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487937140 Deactivated / Inactive NPI Male Practitioner

Dr. Garry Lee Smith , MD

General Practice • Long Beach, 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, Dr. Garry Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2011
NPI Deactivation Date October 08, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Garry Smith, MD was a registered General Practice practicing in Long Beach, IN. Throughout an active medical career spanning 7 years, Dr. Smith provided care at the practice location at 2305 LAKE SHORE DR until profile deactivation on 2018-10-08.

Practice Location & Contact Primary Location

Practice Address

2305 Lake Shore Dr

Long Beach, IN 463601665

Telephone 2198780870

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Long Beach, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Long Beach, IN (190 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 100150-1

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 October 08, 2018

Record deactivated on October 08, 2018

NPI Profile Active September 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 20, 2011

Registered at 2305 LAKE SHORE DR, LONG BEACH, IN 463601665 (Tel: 2198780870)

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Updated Business Mailing Address September 20, 2011

Registered at 2305 LAKE SHORE DR, LONG BEACH, IN 463601665 (Tel: 2198780870)

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Provider Name / Credentials Updated September 20, 2011

Recorded as GARRY SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2011

General Practice (License #100150-1 in NY)

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Initial NPI Registration & Enumeration September 20, 2011

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: 1487937140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2011
Last Update: September 20, 2011
Deactivation Date: October 08, 2018

Mailing Address

2305 Lake Shore Dr

Long Beach, IN 463601665

Phone: 2198780870

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.