Active NPI 1972863389 Individual Practitioner Male Practitioner

Dr. Noah Robert Smith , MD

Dermatology • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Noah Smith, MD is a certified Dermatology practicing in Appleton, WI. With approximately 14 years of clinical experience since graduating from University Of Michigan Medical School in 2012, Dr. Smith delivers high-quality medical care to the local community at 3935 N LIGHTNING DR.

Dr. Smith is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3935 N Lightning Dr

Appleton, WI 549136717

Telephone 9209681790

Fax 9209681794

Associated Practice Facility / Clinic

🏢 Forefront Dermatology, S.c. Facility NPI 1083768253

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -9.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Appleton, WI (337 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (14 Years) 14 Yrs

Appleton Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	378	251	$2929.31	$463.00
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	169	112	$1781.35	$385.20
11102 Tangential biopsy of single skin lesion	133	99	$378.00	$53.88
17003 Destruction of precancer skin growth, 2-14 growths	89	26	$84.00	$6.27
11103 Biopsy of related skin growth, each additional growth	84	45	$205.00	$46.89
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	75	69	$2438.57	$219.58
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	58	50	$1649.62	$210.14
17000 Destruction of skin growth	55	50	$303.63	$41.49
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	53	37	$2691.80	$460.60
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	49	44	$4508.47	$840.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	31	$147.53	$53.10
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	41	40	$3757.06	$692.79
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	41	38	$3693.80	$648.30
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$263.00	$85.22
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	22	$920.09	$143.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$1002.00	$154.56
88331 Pathology examination of specimen during surgery, first tissue block	20	18	$587.18	$95.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$372.00	$120.70
17110 Destruction of up to 14 skin growths	11	11	$419.00	$67.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	424	277	$2929.31	$491.69
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	211	110	$1781.35	$388.98
11102 Tangential biopsy of single skin lesion	101	71	$378.00	$59.55
17003 Destruction of precancer skin growth, 2-14 growths	79	20	$84.00	$6.41
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	63	60	$2438.57	$222.43
17000 Destruction of skin growth	57	45	$303.63	$42.30
11103 Biopsy of related skin growth, each additional growth	54	21	$205.00	$47.62
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	43	37	$920.09	$146.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	37	$1002.00	$168.15
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	39	37	$3693.80	$684.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	37	30	$2691.80	$520.11
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	36	33	$3757.06	$659.41
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	34	33	$1045.56	$149.15
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	34	31	$4508.47	$835.78
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$263.00	$84.97
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	23	$1649.62	$197.43
88331 Pathology examination of specimen during surgery, first tissue block	22	14	$587.18	$97.33
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	16	$4229.87	$936.73
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$3038.74	$233.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$147.53	$53.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	359	289	$2929.31	$566.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	181	106	$1781.35	$388.23
17003 Destruction of precancer skin growth, 2-14 growths	121	32	$73.88	$6.48
17000 Destruction of skin growth	67	60	$303.63	$39.92
11102 Tangential biopsy of single skin lesion	64	55	$286.83	$73.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	59	52	$1045.56	$155.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	53	51	$854.43	$166.11
99213 Established patient office or other outpatient visit, typically 15 minutes	49	40	$188.52	$86.37
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	43	42	$2438.57	$231.42
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	31	29	$920.09	$148.88
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	27	24	$2691.80	$546.65
11103 Biopsy of related skin growth, each additional growth	26	16	$154.71	$49.12
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	17	17	$1236.70	$185.84
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	15	14	$1212.84	$174.31
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$3693.80	$716.83
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$3757.06	$723.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$273.20	$122.65
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	13	13	$4508.47	$871.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$936.14	$126.77
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$4229.87	$939.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	186	147	$885.00	$324.82
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	102	69	$477.00	$196.80
17003 Destruction of precancer skin growth, 2-14 growths	101	18	$29.46	$2.09
11102 Tangential biopsy of single skin lesion	56	49	$155.00	$26.17
11103 Biopsy of related skin growth, each additional growth	41	16	$91.00	$23.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	39	$428.00	$122.83
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	38	31	$885.00	$273.09
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	34	$486.00	$102.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	21	$255.00	$71.76
17000 Destruction of skin growth	30	26	$122.00	$36.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$228.58	$142.35
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$443.00	$117.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$358.00	$99.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$120.00	$103.44
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$602.00	$139.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	110	83	$885.00	$330.09
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	75	45	$477.00	$208.73
11103 Biopsy of related skin growth, each additional growth	48	22	$91.00	$24.83
17003 Destruction of precancer skin growth, 2-14 growths	47	12	$33.83	$2.18
11102 Tangential biopsy of single skin lesion	45	41	$155.00	$29.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	13	$255.00	$75.30
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	25	22	$1026.00	$202.05
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	20	$885.00	$252.91
17000 Destruction of skin growth	21	17	$122.00	$37.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$224.00	$138.74
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	18	$711.00	$163.40
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$622.00	$234.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$428.00	$111.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	175	138	$885.00	$352.53
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	115	68	$477.00	$216.88
11102 Tangential biopsy of single skin lesion	88	78	$127.99	$29.31
17003 Destruction of precancer skin growth, 2-14 growths	86	32	$34.55	$2.72
11103 Biopsy of related skin growth, each additional growth	69	29	$78.45	$24.59
17000 Destruction of skin growth	62	55	$113.61	$42.78
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	38	$1014.44	$227.75
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	30	$670.14	$211.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	23	$251.74	$74.44
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	32	26	$885.00	$298.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$310.00	$176.41
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	23	$622.00	$254.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	18	$420.15	$116.14
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	18	$1745.00	$678.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$217.11	$133.01
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	15	14	$602.00	$162.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$326.80	$92.73
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$451.47	$164.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$105.29	$81.69
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$71.15	$52.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$128.73	$77.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	202	166	$885.00	$370.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	110	73	$477.00	$215.57
11100 Biopsy of single growth of skin and/or tissue	71	64	$112.99	$38.28
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	53	51	$1026.00	$191.16
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	43	33	$885.00	$314.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	26	$246.46	$72.17
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	30	29	$701.47	$236.74
11101 Biopsy of each additional growth of skin and/or tissue	30	21	$74.17	$26.54
17000 Destruction of skin growth	29	28	$120.21	$32.31
17003 Destruction of precancer skin growth, 2-14 growths	25	13	$32.72	$2.67
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	22	$622.00	$227.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$127.20	$78.15
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$420.15	$120.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$358.00	$87.05
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	14	14	$602.00	$134.17
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$476.00	$168.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$208.00	$132.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$279.27	$175.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	134	114	$885.00	$369.01
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	69	49	$477.00	$213.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	52	50	$1026.00	$202.01
11100 Biopsy of single growth of skin and/or tissue	35	30	$117.00	$38.67
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	14	$255.00	$82.06
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	18	$711.00	$215.90
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	16	$622.00	$258.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$267.00	$173.67
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	13	$885.00	$334.68
17000 Destruction of skin growth	13	12	$122.00	$35.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$158.00	$113.34
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$605.00	$196.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$358.00	$85.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$426.00	$112.79

Medical Specialties & State Licenses

CMS Verified: 2026-01-14

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MI 4301100701

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License MI 4301100701

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

3935 N Lightning Dr, Appleton, WI 549136717

Phone: 9209681790

Secondary Practice Locations

510 N 17th Ave Ste C

Wausau, WI 544014281

Phone: 7158495333

1400 Scheuring Rd

De Pere, WI 541151067

Phone: 9209640229

5501a Vern Holmes Dr

Stevens Point, WI 544829791

Phone: 7153440172

2351 State Road 44

Oshkosh, WI 549046333

Phone: 9206518855

2700 Crooks Ave Ste 101

Kaukauna, WI 541303900

Phone: 9205815561

Practice Associates & Co-Workers

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

5 Associated Practitioners

Hillary Ahola-Jacques , PA-C, MPAS

Physician Assistant

NPI 1053806083

Physician Assistant (Certified), MPAS

Dr. Brent Weed , MD

Dermatology - Dermatopathology

NPI 1104804038

Doctor of Medicine (M.D.)

Dr. Peter Katz , MD

Dermatology

NPI 1477725141

Doctor of Medicine (M.D.)

Dr. Keith Wagner , MD

Dermatology

NPI 1760047112

Doctor of Medicine (M.D.)

Dr. Michelle Lewis , MD

Dermatology

NPI 1801802046

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

19 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2026

Dermatology (License #4301100701 in MI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2022

Dermatology (License #4301100701 in MI)

📍

Updated Practice Location December 17, 2021

Registered at 3935 N LIGHTNING DR, APPLETON, WI 549136717 (Tel: 9209681790)

📍

Updated Business Mailing Address December 17, 2021

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2021

Dermatology (License #4301100701 in MI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2021

Dermatology (License #4301100701 in MI)

📍

Updated Practice Location October 19, 2020

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

📍

Updated Business Mailing Address October 19, 2020

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

✅

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2017

Registered at 1500 E MEDICAL CENTER DRIVE, 1ST FLOOR CANCER CENTER RECP B, ANN ARBOR, MI 481095918 (Tel: 7349366360)

📍

Updated Business Mailing Address April 12, 2017

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤

Provider Name / Credentials Updated April 12, 2017

Recorded as NOAH SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Dermatology (License #4301100701 in MI)

✅

NPI Profile Active November 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 01, 2015

Registered at 1000 OAKLAND DR, KALAMAZOO, MI 490081282 (Tel: 2693374400)

📍

Updated Business Mailing Address November 01, 2015

Registered at 1500E MEDICAL CENTER DR 1910, ANN ARBOR, MI 481095000 (Tel: 7349364048)

👤

Provider Name / Credentials Updated November 01, 2015

Recorded as NOAH SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2015

Student in an Organized Health Care Education/Training Program (License #4301100701 in MI)

🟢

Initial NPI Registration & Enumeration May 18, 2012

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: 1972863389

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 18, 2012

Last Update: January 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.