Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smith Medicine, PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1780945634

Smith Medicine, PC is a Sports Medicine (Family Medicine) Physician in Wynnewood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6 E Lancaster Ave Ste 200
Wynnewood, PA 19096-3430
Phone: (610) 896-0648
Fax: (610) 642-1690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD431430 (PA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence MD427776 (PA)

Record details

NPI number1780945634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Smith — President · (267) 970-7117
NPI enumeratedJune 6, 2012
Last updated in NPPESOctober 16, 2024
Certification dateSeptember 24, 2024
Mailing address6 E Lancaster Ave Ste 200, Wynnewood, PA 19096-3430

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