CHARLIE D SMITH III


Address: 2322 Burnt Branch Rd, Lake City, SC 29560-7910
Phone: 8436870153

CHARLIE D SMITH III (NPI# 1003874892) 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) 1003874892
Entity Type Individual
Full Name CHARLIE D SMITH III
Credential MD
Practice Address 2322 Burnt Branch Rd
Lake City
SC 29560-7910
Mailing Address Po Box 266
Olanta
SC 29114-0266
Practice Telephone 8436870153
Practice Fax Number 8436739457
Mailing Telephone 8436870153
Mailing Fax Number 8436739457
Enumeration Date 2006-05-02
Last Update Date 2020-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 13042 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GROUP NPI 1679530968 01
SC 130423 05
SC MEDICARE GROUP NUMBER 7937 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
805 Pamplico Hwy Ste B300, Florence, SC 295056081 8436762760

Other Providers CHARLIE SMITH

NPI Name Taxonomy Address Enumeration
1386186310 Charlie Smith Counselor 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 2016-11-08
1184976284 Charlie Anne Smith Occupational Therapist 4109 Highway 98 W, Summit, MS 39666-9132 2012-10-12
1164757530 Charlie Smith Occupational Therapy Assistant 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 2009-10-02

Office Location

Street Address 2322 BURNT BRANCH RD
City LAKE CITY
State SC
Zip Code 29560-7910

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457830366 Patty Fulmore In Home Supportive Care 141 Bulldog Lane, Lake City, SC 29560 2018-08-10
1558875211 Msk Transportation Non-emergency Medical Transport (VAN) 226 Lake Dale Ave, Lake City, SC 29560 2017-11-16
1861867566 Denita Alison Pleasant Pharmacist 301 West Thomas Street, Lake City, SC 29560 2015-12-07
1821474115 Pro-motion Physical Therapy of Florence, Sc, LLC Occupational Therapist 148 B Sauls Street, Lake City, SC 29560 2015-08-10
1023412335 Motivations-unlimited Speech-Language Pathologist 318 A Moore Street, Lake City, SC 29560 2014-10-15
1700297652 Sharon Lewis Pharmacist 900 Us Highway 52, Lake City, SC 29560 2014-05-14
1376954305 Sergio Montes Pharmacist 900 Us Hwy 52, Lake City, SC 29560 2014-05-13
1992122857 Paula Moses Pharmacist 900 U.s Hwy. 52, Lake City, SC 29560 2014-03-27
1063762763 Dawn Mcelveen Floyd Pharmacist 301 W Thomas Street, Lake City, SC 29560 2012-09-11
1548519507 Robert Bruce Page Pharmacist 401 West Thomas St, Lake City, SC 29560 2012-09-06
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922607217 Krishna Bhandari Thoracic Surgery (Cardiothoracic Vascular Surgery) 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 2020-10-19
1255717245 Beth Damato Thoracic Surgery (Cardiothoracic Vascular Surgery) 9313 Medical Plaza Dr Ste 304, Charleston, SC 29406-9197 2015-08-03
1235533530 Bruce Agster Thoracic Surgery (Cardiothoracic Vascular Surgery) 1422 Hooper St, Daniel Island, SC 29492-8481 2014-10-15
1447501754 Willamsburg Regional Hospital Thoracic Surgery (Cardiothoracic Vascular Surgery) 500 Thurgood Marshall Hwy Ste G, Kingstree, SC 29556-4143 2012-09-26
1114216454 Sanford Manning Zeigler Thoracic Surgery (Cardiothoracic Vascular Surgery) 96 Jonathan Lucas St # 295, Charleston, SC 29425-2200 2011-04-06
1184930992 Lowcountry Thoracic Surgery Associates Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 1300 Hospital Dr Ste 360, Mount Pleasant, SC 29464-7776 2010-08-31
1629203187 Roper Saint Francis Physicians Network Thoracic Surgery (Cardiothoracic Vascular Surgery) 8536 Palmetto Commerce Pkwy Ste 502, Ladson, SC 29456 2009-05-27
1255503884 Robert John Mccardle Sr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 811 W Main Street, Lexington, SC 29169 2008-03-24
1235356320 Morris H Drucker Thoracic Surgery (Cardiothoracic Vascular Surgery) 67 Leamington Lane, Hilton Head Island, SC 29928-5150 2007-04-19
1518024868 Palmetto Cardiovascular and Thoracic Assoc Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 9231 Medical Plaza Dr Ste D, Charleston, SC 29406-9101 2007-01-03
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City LAKE CITY
Zip Code 29560

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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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