Provider Demographics
NPI:1700695491
Name:SMARTCARE MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:SMARTCARE MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:301-741-5739
Mailing Address - Street 1:PO BOX 260
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20750-0260
Mailing Address - Country:US
Mailing Address - Phone:240-667-0800
Mailing Address - Fax:
Practice Address - Street 1:11701 LIVINGSTON RD STE 208
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5136
Practice Address - Country:US
Practice Address - Phone:240-667-0800
Practice Address - Fax:240-667-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty