MRS. KRYSTAL SMITHERS (NPI# 1033558465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033558465 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTAL SMITHERS |
| Credential | PA-C |
| Practice Address |
208 Maccorkle Ave Se Charleston WV 25314-1160 |
| Practice Telephone | 3043434300 |
| Practice Fax Number | 3043435473 |
| Mailing Telephone | 3043434300 |
| Mailing Fax Number | 3043435473 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01725 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1033558465 | 01 |
| Street Address |
208 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25314-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720192826 | Jane Thomas Christenson | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-08-18 |
| 1780152553 | David Tomczyk | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1197 | 2018-11-09 |
| 1093191124 | Leann Mckay | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2015-07-30 |
| 1144595026 | Jessica Jean Dearman | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2012-03-12 |
| 1376828095 | Caroline A. Williams | Family Medicine | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2011-10-13 |
| 1629280664 | Siwat Kiratiseavee | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2007-05-03 |
| 1316013295 | Wv Asthma & Allergy Centers, Inc. | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-11-24 |
| 1114005477 | Wv Asthma and Allergy Centers, Inc. | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-11-02 |
| 1184715948 | Melissa Jose Gamponia | Family Medicine | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-09-27 |
| 1013014620 | Chang Hyuk Choi | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1699376137 | Amanda Gail Evans | Technician | 11 Happy Hl, Charleston, WV 25314 | 2020-11-02 |
| 1457879074 | Samantha Pennington | Pharmacist | 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 | 2017-09-04 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1285039727 | West Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 885 Oakwood Rd., Charleston, WV 25314 | 2014-10-27 |
| 1386980381 | Miranda L Broyles | Nurse Practitioner | 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 | 2012-12-19 |
| 1548482896 | Christina M. Arco, Phd Pllc | Psychologist | 1013 B Oakhurst Drive, Charleston, WV 25314 | 2007-05-03 |
| 1578780359 | S & W Meeks Inc | Eyewear Supplier (Equipment, not the service) | 426 Division Street, South Charleston, WV 25314 | 2007-04-20 |
| 1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
| Find all providers in zip 25314 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
| 1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
| 1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
| 1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
| 1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
| 1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
| 1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
| 1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
| 1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25314 |
Please comment or provide details below to improve the information on MRS. KRYSTAL SMITHERS.
| 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.