DR. CARLOS FREDERICK SMITH (NPI# 1033190079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033190079 |
| Entity Type | Individual |
| Full Name | DR. CARLOS FREDERICK SMITH |
| Credential | DPM |
| Practice Address |
1301 E 47th St Bldg 2 Chicago IL 60653-4507 |
| Mailing Address |
711 W North Ave Ste 210 Chicago IL 60610-1174 |
| Practice Telephone | 7739247765 |
| Practice Fax Number | 7739248468 |
| Mailing Telephone | 3126423440 |
| Mailing Fax Number | 3126424319 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016004833 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10801 S Western Ave Ste 200, Chicago, IL 606433297 | 7739247765 | 7739248468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811270895 | Carlos Allen Smith | Psychologist | 2440 Texas Pkwy Ste 213e, Missouri City, TX 77489-4023 | 2011-09-26 |
| 1427008226 | Carlos Ignacio Smith | Internal Medicine | 50 Barracuda Ln, Key Largo, FL 33037-3733 | 2006-05-11 |
| 1992968267 | Carlos Stringer Smith | Dentist | 520 North 12th Street, Faculty's Private Practice, Richmond, VA 23298-5064 | 2008-07-08 |
| 1427124387 | Carlos Roberto Smith | Social Worker | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2006-11-24 |
| 1992724538 | Carlos Alberto Smith | Emergency Medicine | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2006-07-18 |
| Street Address |
1301 E 47TH ST BLDG 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1770004814 | Andrew Alward | Podiatrist | 2027 W Division St # 180, Chicago, IL 60622-9024 | 2017-06-28 |
| 1043730625 | Mary Elizabeth Hickner | Podiatrist | 2751 W Winona St Apt 457, Chicago, IL 60625-2508 | 2017-06-23 |
| 1225489172 | Alison Dawn Traffanstedt Young | Podiatrist | 30 N Michigan Ave Ste 1129, Chicago, IL 60602-3478 | 2016-06-22 |
| 1922454131 | Mary Cobb | Podiatrist | 1428 E 69th St, Chicago, IL 60637-4804 | 2016-05-05 |
| 1407233760 | Aaron Raestas | Podiatrist | 730 S Dearborn St # T, Chicago, IL 60605-1838 | 2015-05-06 |
| Find all providers in CHICAGO | ||||
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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.