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

Carolyn Shannon Smith, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1902965965

Carolyn Shannon Smith, MD is a Family Practice in Milwaukee, Wisconsin. Qualified in 1995, 31 years ago. Practices with Milwaukee Orthopaedic Group Ltd, a 10-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

545 N 15th St
Milwaukee, WI 53233-2237
Phone: (414) 288-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 38125 (WI)

Record details

NPI number1902965965
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Milwaukee Orthopaedic Group Ltd — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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