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Deactivated NPI 1538206420 Deactivated / Inactive NPI Male Practitioner

Dr. Alan W Smith , MD

Pediatrics • Upper Marlboro, MD

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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. Alan Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date March 02, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Alan Smith, MD was a registered Pediatrics practicing in Upper Marlboro, MD. Throughout an active medical career spanning 13 years, Dr. Smith provided care at the practice location at 9692 PENNSYLVANIA AVE until profile deactivation on 2020-03-02.

Practice Location & Contact Primary Location

Practice Address

9692 Pennsylvania Ave

Upper Marlboro, MD 207723670

Telephone 3015997300
Fax 3015990476
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Upper Marlboro, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Upper Marlboro, MD (1907 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D0020321

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Aileen Raulin , RN CPNP

Nurse Practitioner - Pediatrics

NPI 1053588384

RNCPNP

Judy Nelson , CPNP

Clinical Nurse Specialist - Pediatrics

NPI 1063665354

Certified Pediatric Nurse Practitioner

Shannon Woodson , CPNP

Nurse Practitioner - Pediatrics

NPI 1205317591

Certified Pediatric Nurse Practitioner

NPI 1285770214

Doctor of Medicine (M.D.)

NPI 1295871309

Doctor of Medicine (M.D.)

NPI 1558344192

Doctor of Medicine (M.D.)

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 March 02, 2020

Record deactivated on March 02, 2020

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2012

Registered at 9692 PENNSYLVANIA AVE, UPPER MARLBORO, MD 207723670 (Tel: 3015997300)

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Updated Business Mailing Address February 07, 2012

Registered at 9692 PENNSYLVANIA AVE, UPPER MARLBORO, MD 207723670 (Tel: 3015997300)

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Provider Name / Credentials Updated February 07, 2012

Recorded as ALAN SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Pediatrics (License #D0020321 in MD)

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Initial NPI Registration & Enumeration January 31, 2007

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: 1538206420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: February 07, 2012
Deactivation Date: March 02, 2020

Mailing Address

9692 Pennsylvania Ave

Upper Marlboro, MD 207723670

Phone: 3015997300

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.