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

Dr. Mark Edward Smith, DO

Individual provider Internal Medicine Physician · NPI 1740451525

Dr. Mark Edward Smith, DO is a Gastroenterology in Woodbury, Minnesota. Qualified in 2005, 21 years ago. Practices with Mngi Digestive Health PA, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Nebraska.

Years since qualifying
21
Licensed in
MN, NE
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

237 Radio Dr Ste 210
Woodbury, MN 55125-4478
Phone: (612) 871-1145
Fax: (612) 870-5491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 63619 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 512 (NE)

Record details

NPI number1740451525
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 19, 2008
Last updated in NPPESOctober 22, 2018

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mngi Digestive Health Pa — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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