Smart Form Inc
Smart Form Inc is a healthcare organization registered as Prosthetic/Orthotic Supplier in Pittsburgh, PA, holding Type 2 (organization) NPI 1033102330 since 2005. The authorized official on file is Laurie Churma, General Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033102330 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Smart Form Inc |
| Other name | <Unavail> |
| Practice address | 100 5TH AVE, SUITE 804, Pittsburgh, PA, 15222 |
| Phone | 4122819913 |
| Fax | 4122818074 |
| Enumeration date | 2005-08-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Laurie Churma |
|---|---|
| Title | General Manager |
| Phone | 4122819913 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016096020001 | Medicaid | PA | — |
Copy-ready billing details
Provider: Smart Form Inc NPI: 1033102330 Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier) Address: 100 5TH AVE, SUITE 804, Pittsburgh, PA, 15222
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376506105 | Christopher Eckert | Individual | Audiologist | Pittsburgh, PA |
| 1063633899 | Lori Dugan | Individual | Audiologist | Pittsburgh, PA |
| 1427697705 | Colleen O'Shea | Individual | Addiction (Substance Use Disorder) Counselor | Pittsburgh, PA |
Verify this record
Cross-check NPI 1033102330 against the authoritative CMS record: view Smart Form Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Smart Form Inc?
Who is the authorized official for Smart Form Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.