Dr. Marissa M Smith
MD | Pediatrics | Female
Dr. Marissa M Smith, MD is a Syracuse, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Marissa M Smith is
4900 Broad Road, Syracuse, New York - 13215. She can be contacted on phone at
315-492-5437 and fax number 315-492-5502.
Dr. Marissa M Smith is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Marissa M Smith is
1427218833 which was assigned by NPPES on 10 Jun, 2008 and it was last updated on 03 Nov, 2022.
Dr. Marissa M Smith is a pediatrician who 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.
Complete Profile:
Dr. Marissa M Smith basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Marissa M Smith |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Marissa M Smith address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4900 Broad Road
Syracuse, NY, 13215
United States |
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| Phone Number : | 315-492-5437 |
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| Fax Number : | 315-492-5502 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427218833 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jun, 2008 |
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| Last Updated On : | 03 Nov, 2022 |
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Medicare Participation:
Dr. Marissa M Smith participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3173796257 |
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| Medicare Enrollment ID : | I20181211002015 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2008 |
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| Accepts Medicare? | Yes. Dr. Marissa M Smith accepts medicare insurance. |
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Group Practice Association:
Dr. Marissa M Smith is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Marissa M Smith is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Upstate Emergency Medicine, Inc | 2466443494 | 46 | 4900 Broad Rd
Syracuse, NY - 132152265
Ph: 3154925437 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marissa M Smith are as mentioned. Primary taxonomy code for Dr. Marissa M Smith, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 050185 | CT |
| 2080S0010X | Pediatrics, Sports Medicine | No | 050185 | CT |
| 208000000X | Pediatrics | No | 275336 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Marissa M Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03378998 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 251 Salina Meadows Pkwy Ste 100
Syracuse, NY, 13212-4516
United States |
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| Phone Number : | 315-464-2000 |
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| Fax Number : | 315-464-2010 |
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Business Location:
Patients can refer following map for directions to
Dr. Marissa M Smith practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.