Provider Demographics
NPI:1063971984
Name:SMITH, PATRICK DANIEL (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:DANIEL
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 7009
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-803-7844
Mailing Address - Fax:513-636-4404
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:T11.425AF, MLC 7009
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-803-7844
Practice Address - Fax:513-636-4404
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-19
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.1451532080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine