IndividualActive
David Smith, M.D.
NPI 1962405993 · Pediatric Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1962405993
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01040403A (IN)
Practice location
7613 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4182
Phone: (260) 469-7337
Fax: (260) 469-7340
Mailing address
7613 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4182
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2014-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.