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

Dr. Shannon Marie Smith, MD/MPH

Individual provider Urology Physician · NPI 1043673791

Dr. Shannon Marie Smith, MD/MPH is an Urology in Fairbanks, Alaska. Qualified in 2016, 10 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and California.

Years since qualifying
10
Licensed in
AK, CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-2630
Fax: (907) 459-3508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8635 W 3rd St # 420e, Los Angeles, CA 90048-6101 — (310) 423-4256

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 232073 (AK)
Urology Physician Taxonomy 208800000X · Licence A172902 (CA)

Record details

NPI number1043673791
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD/MPH
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairbanks