PHILIP SHERIDAN SMITH


Address: 164 Willow Ave, Cornwall, NY 12518-1329
Phone: 8455348271

PHILIP SHERIDAN SMITH (NPI# 1003815440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003815440
Entity Type Individual
Full Name PHILIP SHERIDAN SMITH
Credential M.D.
Practice Address 164 Willow Ave
Cornwall
NY 12518-1329
Practice Telephone 8455348271
Practice Fax Number 8455348145
Mailing Telephone 8455348271
Mailing Fax Number 8455348145
Enumeration Date 2005-07-19
Last Update Date 2014-01-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
144650 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY EMPIRE BC/BS 75D541 01
NY 00966629 05

Other Providers PHILIP SMITH

NPI Name Taxonomy Address Enumeration
1043626351 Philip James Smith Pharmacist 2591 E M-21, Coronna, MI 48817 2014-07-08
1205023769 Philip Allen Smith Physician Assistant 1 Air National Guard Rd, Scotia, NY 12302 2007-09-28
1780608984 Philip Smith Psychiatry & Neurology 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 2006-07-27
1952351876 Philip Michael Smith Ophthalmology 3211 Fortune Ct, Suite A, Auburn, CA 95602-9245 2006-05-11
1942206149 Philip C Smith Ophthalmology 401 Baptist Dr Ste 201, Madison, MS 39110 2005-06-22
1184124828 Philip Michael Smith Behavior Technician 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 2018-02-20
1649793597 Philip Brian Smith Pharmacist 7000 E Broad St, Columbus, OH 43213-1519 2017-07-24
1932583598 Philip Smith Student in an Organized Health Care Education/Training Program 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 2015-07-14
1609280809 Philip Smith Counselor 5982 Rhodes Rd, Kent, OH 44240-8100 2014-06-16
1992116842 Philip Nathaniel Smith Radiology 801 S Stevens St, Spokane, WA 99204-2654 2014-05-14

Office Location

Street Address 164 WILLOW AVE
City CORNWALL
State NY
Zip Code 12518-1329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841582822 Orange Hematology-oncology Pllc Internal Medicine 164 Willow Ave, Cornwall, NY 12518-1329 2011-05-09
1568762516 Kimberly Darrigo Nurse Practitioner 164 Willow Ave, Cornwall, NY 12518-1329 2010-10-25
1821321019 Frances Anne Parisi Nurse Practitioner 164 Willow Ave, Cornwall, NY 12518-1329 2009-09-07
1316053952 Richard Marc Diamond Internal Medicine 164 Willow Ave, Cornwall, NY 12518-1329 2006-08-23
1073629689 Mid Hudson Hematology Oncology PC Internal Medicine 164 Willow Ave, Cornwall, NY 12518-1329 2006-08-23
1134233497 Prestige Physicians Services, Pllc Family Medicine 164 Willow Ave, Cornwall, NY 12518 2006-08-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548883697 Rose Ema Francine Dubreus Pierre Registered Nurse 40 Firth Street, Cornwall, NY 12518 2020-05-23
1255847406 Casey Marianne Undersinger Occupational Therapist 340 Hudson Street, Cornwall, NY 12518 2017-12-26
1629287107 Clifford James Russ Dentist 41 Ridge Road, Cornwall, NY 12518 2007-05-22
1740687474 Carolann Frances Furchi Psychologist 186 Main Street, Cornwall, NY 12518 2014-11-24
1952661274 Kirti Joseph Student in an Organized Health Care Education/Training Program Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 2012-05-21
1255564969 Manita Sawhney Internal Medicine Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 2009-08-27
1568583896 Eastern Orange Ambulatory Surgery Center, LLC Clinic/Center 21 Laurel Ave, Suite 120, Cornwall, NY 12518 2007-04-03
1518022771 Pelella Apothecary Inc Pharmacy 21 Laurel Ave, Ste 110, Cornwall, NY 12518 2006-12-27
1245327162 Thomas V Robb Surgery 21 Laurel Ave, Suite 240, Cornwall, NY 12518 2006-10-10
1417967514 Nicholas George Bambino Internal Medicine 10 Elm St, Cornwall, NY 12518 2006-08-09
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003421801 Andrea Low Internal Medicine 215 W 125th St Rm 302, New York, NY 10027-4426 2020-09-09
1114551827 Steven Neal Miller Internal Medicine 29 Blair Dr, Huntington, NY 11743-2465 2020-03-03
1871123703 Walter Ian Lipkin Internal Medicine 722 W 168th St Fl 17, New York, NY 10032-3727 2020-01-20
1033776307 Debra K Strauss Md Internal Medicine 11 Medical Park Dr Ste 206, Pomona, NY 10970-3560 2019-05-22
1124590559 Berman Infectious Disease Consultant PC Internal Medicine 25 Carlisle Rd, New Rochelle, NY 10804-3801 2018-12-25
1558838482 Infectious Disease Consultant of Rockland, P.C. Internal Medicine 259 N Middletown Rd Ste 1b, Nanuet, NY 10954-1220 2018-10-29
1528512894 Cordial Medical, P.C. Internal Medicine 100 Broadhollow Rd Ste 106, Farmingdale, NY 11735-4813 2016-08-04
1033508205 Ayuda Medical, Pllc Internal Medicine 54 Sunrise Dr, Lynbrook, NY 11563-2920 2015-01-12
1659777449 Joseph Michael Feczko Internal Medicine 234 E 49th St, New York, NY 10017-1502 2014-11-06
1669873402 Joel Ackelsberg Internal Medicine 4209 28th St # Cn-22a, Long Island City, NY 11101-4130 2014-09-11
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Competitor

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City CORNWALL
Zip Code 12518

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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