Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790722908 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory A Smith , MD

Anesthesiology • Mishawaka, 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. Gregory Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2006
NPI Deactivation Date December 10, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Smith, MD was a registered Anesthesiology practicing in Mishawaka, IN. Throughout an active medical career spanning 12 years, Dr. Smith provided care at the practice location at 4455 EDISON LAKES PKWY until profile deactivation on 2018-12-10.

Practice Location & Contact Primary Location

Practice Address

4455 Edison Lakes Pkwy

Mishawaka, IN 465451442

Telephone 5742551400
Fax 5742551840
Associated Practice Facility / Clinic
🏢 United Surgeons Llc Facility NPI 1891787321

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Mishawaka, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Mishawaka, IN (1501 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

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License IN 01035910A

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Juanita Roberts , FNP-BC

Nurse Practitioner - Family

NPI 1073237202

Family Nurse Practitioner (Board Certified)

Margaret Srinivasan , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1649157140

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

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 December 10, 2018

Record deactivated on December 10, 2018

NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 16, 2012

Registered at 4455 EDISON LAKES PKWY, MISHAWAKA, IN 465451442 (Tel: 5742551400)

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Updated Business Mailing Address May 16, 2012

Registered at 4455 EDISON LAKES PKWY, MISHAWAKA, IN 465451442 (Tel: 5742551400)

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Provider Name / Credentials Updated May 16, 2012

Recorded as GREGORY SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Anesthesiology (License #01035910A in IN)

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Initial NPI Registration & Enumeration May 31, 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: 1790722908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2006
Last Update: May 16, 2012
Deactivation Date: December 10, 2018

Mailing Address

4455 Edison Lakes Pkwy

Mishawaka, IN 465451442

Phone: 5742551400

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.