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Deactivated NPI 1578564944 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Steven Smith , DPM

Podiatrist • Oshkosh, WI

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

Registration / Start Date August 09, 2005
NPI Deactivation Date March 18, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Smith, DPM was a registered Podiatrist practicing in Oshkosh, WI. Throughout an active medical career spanning 14 years, Dr. Smith provided care at the practice location at 136 JACKSON ST until profile deactivation on 2019-03-18.

Historical Medicare Part B clinical services included removal of fingernails or toenails, new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

136 Jackson St
Ste 4

Oshkosh, WI 549014778

Telephone 9202356575
Fax 9202356508

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Oshkosh, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Oshkosh, WI (227 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
185 146 $48.13 $39.69

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License WI 465-025

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jonathan Deeslie , HIS

Hearing Instrument Specialist

NPI 1720321623

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 18, 2019

Record deactivated on March 18, 2019

NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2008

Registered at 136 JACKSON ST, STE 4, OSHKOSH, WI 549014778 (Tel: 9202356575)

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Updated Business Mailing Address June 25, 2008

Registered at 136 JACKSON ST, STE 4, OSHKOSH, WI 549014778 (Tel: 9202356575)

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Provider Name / Credentials Updated June 25, 2008

Recorded as MARK SMITH, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Podiatrist (License #465-025 in WI)

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Initial NPI Registration & Enumeration August 09, 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: 1578564944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: June 25, 2008
Deactivation Date: March 18, 2019

Mailing Address

136 Jackson St, Ste 4

Oshkosh, WI 549014778

Phone: 9202356575

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.