KENNETH WAYNE SMITH (NPI# 1033101126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101126 |
| Entity Type | Individual |
| Full Name | KENNETH WAYNE SMITH |
| Credential | MD |
| Practice Address |
2 Sheridan Sq Suite 200 Kingsport TN 37660-7399 |
| Mailing Address |
2 Sheridan Sq Ste 200 Kingsport TN 37660-7399 |
| Practice Telephone | 4232468061 |
| Practice Fax Number | 4232438278 |
| Mailing Telephone | 4232468061 |
| Mailing Fax Number | 4232438278 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD020006 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3047670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
2 SHERIDAN SQ SUITE 200 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311349 | Melissa Hope Ford | Registered Nurse | 2 Sheridan Sq, Kingsport, TN 37660-7399 | 2017-01-05 |
| 1649656240 | Bonnie Henley | Nurse Practitioner | 2 Sheridan Sq, Ste 200, Kingsport, TN 37660-7399 | 2015-08-05 |
| 1699048066 | Elizabeth Michelle Crawford | Nurse Practitioner | 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 | 2012-02-16 |
| 1891935763 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 2 Sheridan Sq, Suite 100, Kingsport, TN 37660 | 2009-03-04 |
| 1720097702 | Emile George Schmidt Jr. | Physical Therapist | 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 | 2006-08-07 |
| 1871502880 | Blue Ridge Neuroscience Center, P.C. | Specialist | 2 Sheridan Sq, Ste 200, Kingsport, TN 37660-7399 | 2006-08-07 |
| 1275525354 | Carla Renee Cheek | Nurse Practitioner | 2 Sheridan Sq, Suite 200, Kingsport, TN 37660-7399 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871790691 | David Matthew Pryputniewicz | Neurological Surgery | 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 | 2007-06-27 |
| 1083897086 | Jon William Taveau | Neurological Surgery | 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 | 2007-12-12 |
| 1376504332 | Gregory Corradino | Neurological Surgery | 444 Clinchfield St, Suite 103, Kingsport, TN 37660-3606 | 2006-03-30 |
| 1558339101 | Lawrence P. Hartman | Neurological Surgery | 135 W Ravine Rd, Suite 4a, Kingsport, TN 37660-3847 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807607 | Southeastern Spine, Pllc | Neurological Surgery | 5953 Elementary Way Ste 101, Ooltewah, TN 37363-3108 | 2020-10-06 |
| 1669013124 | Neurosurgical Associates | Neurological Surgery | 3443 Dickerson Pike Ste 340, Nashville, TN 37207-2523 | 2019-10-04 |
| 1447757869 | Waldemar Charles August Sternbergh Jr. | Neurological Surgery | 108 Riverpoint Rd, Signal Mountain, TN 37377-2238 | 2018-04-11 |
| 1982122438 | Teresa Malone | Neurological Surgery | 1819 W Clinch Ave Ste 214, Knoxville, TN 37916-2435 | 2017-09-05 |
| 1184916355 | William A Tyler | Neurological Surgery | 525 Arrowhead Trl, Knoxville, TN 37919-7610 | 2011-05-06 |
| 1811289135 | Christopher Michael Storey | Neurological Surgery | 5653 Frist Blvd Ste 332, Hermitage, TN 37076-2064 | 2011-05-04 |
| 1346569589 | Ernest J Wright IIi | Neurological Surgery | 2011 Murphy Ave Ste 3011, Nashville, TN 37203 | 2010-05-27 |
| 1801114079 | Scott Lewis Parker | Neurological Surgery | 1161 21st Ave S T4224 Mcn, Nashville, TN 37232-0001 | 2010-05-12 |
| 1063744605 | Dee James Canale | Neurological Surgery | 4639 Peppertree Lane, Memphis, TN 38117-3920 | 2010-02-08 |
| 1437489325 | Neurosurgery and Spine Institute of East Tennessee, Pllc | Neurological Surgery | 10330 Hardin Valley Rd, Suite 100, Knoxville, TN 37932-3742 | 2009-12-28 |
| Find all providers with the same taxonomy | ||||
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| 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.