MS. KATHERINE J. DONEBY SMITH (NPI# 1063416881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063416881 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE J. DONEBY SMITH |
| Credential | PA-C |
| Practice Address |
702 Russell Ave Ste 100 Gaithersburg MD 20877-2606 |
| Practice Telephone | 3013557037 |
| Practice Fax Number | 3013557501 |
| Mailing Telephone | 3013557037 |
| Mailing Fax Number | 3013557501 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0000639 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 093081400 | 05 | |
| MD | 151651500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1023633427 | Katherine Ellen Smith | Nurse Practitioner | 736 Irving Ave # 9100, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1144732561 | Katherine Smith | Naturopath | Carretera 931, Kilometro 0.4, Gurabo, PR 00778 | 2017-10-25 |
| 1518480896 | Katherine Smith | Massage Therapist | 4242 E Cactus Rd, Apt 432, Phoenix, AZ 85032 | 2017-07-19 |
| 1033669544 | Katherine Zephania Smith | Licensed Practical Nurse | 198 Morton St, Rochester, NY 14609-4027 | 2016-10-07 |
| 1144673666 | Katherine Michelle Smith | Speech-Language Pathologist | 2301 Sunset Ln, York, PA 17408-4336 | 2016-07-20 |
| 1710353644 | Katherine Smith | Counselor | 21118 Dusty Glen Ln, Spring, TX 77379-8227 | 2015-08-14 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1467859017 | Katherine Wilson Smith | Marriage & Family Therapist | 420 S Beverly Dr # 100-17b, Beverly Hills, CA 90212 | 2014-11-25 |
| 1295151637 | Katherine Smith | Speech-Language Pathologist | 10749 E Young Rd, London Mills, IL 61544-9348 | 2014-03-10 |
| Street Address |
702 RUSSELL AVE STE 100 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732995 | Tracee Tabares | Registered Nurse | 702 Russell Ave, Gaithersburg, MD 20877-2606 | 2020-05-26 |
| 1154766939 | Holy Cross Health Centers | Clinic/Center | 702 Russell Ave, Gaithersburg, MD 20877-2606 | 2013-05-07 |
| 1699030429 | Lani Nagorski | Podiatrist | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 | 2012-07-09 |
| 1629282983 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-05-09 |
| 1619193968 | Gaithersburg Imaging Center, LLC | Specialist | 702 Russell Ave, Gaithersburg, MD 20877-2606 | 2007-04-17 |
| 1487779435 | Lakeforest Ambulatory Surgery Center | Clinic/Center | 702 Russell Ave, #301, Gaithersburg, MD 20877-2606 | 2007-03-20 |
| 1376675306 | Elizabeth A. Sharpe | Family Medicine | 702 Russell Ave, Suite 100, Gaithersburg, MD 20877-2606 | 2007-03-13 |
| 1285767723 | Drs Tabor & Weber Pa | Podiatrist | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 | 2007-03-13 |
| 1477607885 | Adam Paul Rubin | Optometrist | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-01-22 |
| 1568521318 | Paul Heyman | Optometrist | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2006-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811403033 | Antonietta E Iosue | Physician Assistant | 9561 White Pillar Ter, Gaithersburg, MD 20882-2816 | 2017-12-26 |
| 1003343138 | Tracy Jacinda Branch | Physician Assistant | 8501 Plum Creek Dr, Gaithersburg, MD 20882-4438 | 2017-05-19 |
| 1134449614 | Jamie Lichtenstein Stackman | Physician Assistant | 7 Granite Pl Ste 14, Gaithersburg, MD 20878-6607 | 2010-06-07 |
| 1548465917 | Ivan Carbonell-sanchez | Physician Assistant | 18731 Blue Violet Ln, Gaithersburg, MD 20879-1529 | 2007-06-18 |
| 1417999640 | Mary Elizabeth Farrar | Physician Assistant | 7 Granite Pl, Suite 14, Gaithersburg, MD 20878-6586 | 2006-06-12 |
| 1174519029 | Frederick S Bader | Physician Assistant | 19134 Clover Meadow Pl, Gaithersburg, MD 20879-3141 | 2005-09-26 |
| 1962842179 | Melissa Anne Sinclair | Physician Assistant | 806 W Diamond Ave, # 110, Gaithersburg, MD 20878-1415 | 2013-07-02 |
| 1881886257 | Samantha L Newbegin-fraction | Physician Assistant | 818 W Diamond Ave, Suite 130, Gaithersburg, MD 20878-1417 | 2007-08-09 |
| 1548381965 | Charlene Elston Morgan | Physician Assistant | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3413 | 2007-04-03 |
| 1013049618 | Lana Joan Smith | Physician Assistant | 981 Russell Ave, James Matthews, M.d., Gaithersburg, MD 20879-6219 | 2007-03-09 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
Please comment or provide details below to improve the information on MS. KATHERINE J. DONEBY SMITH.
| 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.