MR. WILLIAM BENJAMIN SMITH III (NPI# 1114987971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114987971 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM BENJAMIN SMITH III |
| Credential | PA-C |
| Practice Address |
190 Kimel Park Dr Winston-salem NC 27103-6946 |
| Mailing Address |
3013 Spillman Frye Ln East Bend NC 27018-8486 |
| Practice Telephone | 3367948668 |
| Mailing Telephone | 3369616102 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103175 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| Street Address |
190 KIMEL PARK DR |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623003 | Mark Lee Seatvet | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-22 |
| 1376508911 | Wade Gibbs | Pharmacist | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-18 |
| 1972567618 | David Schreiner | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-12 |
| 1366405417 | Clarence Earl Lloyd Jr. | Radiology | 190 Kimel Park Dr, Va Outpatient Clinic, Winston-salem, NC 27103-6946 | 2006-04-10 |
| 1013970987 | Shih-ching Lee | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-10 |
| 1568425445 | Suzanne Lynn Burks-bermudez | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-10 |
| 1760445118 | Paul Warren Bailey | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-07 |
| 1649232943 | Michael Wilson | Podiatrist | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-04 |
| 1437110186 | Joseph Christian Pardue | Dietitian, Registered | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-31 |
| 1538120910 | Dept of Veterans Affairs Outpatient Clinic | Nurse Practitioner | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235351891 | Brenda W. Mckinney | Physician Assistant | Medical Center Blvd - Employee Health, Meads Hall - Ground Floor, Winston-salem, NC 27157-0001 | 2007-05-03 |
| 1376671503 | Frances C Greenlee | Physician Assistant | Lower Level Reynolds Gym-wingate Rd, Wingate Rd, Winston-salem, NC 27109-7386 | 2007-03-01 |
| 1588623003 | Mark Lee Seatvet | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-22 |
| 1922216969 | Marilyn Mcgrath Bullaboy | Physician Assistant | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-05-21 |
| 1215974811 | Jennifer Hughes Chapman | Physician Assistant | 799 Hickory Tree Rd, Winston-salem, NC 27127-9139 | 2006-06-01 |
| 1871546275 | Debbie Adams Hauser | Physician Assistant | 1400 Westgate Center Dr, Winston-salem, NC 27103-3104 | 2006-05-18 |
| 1528016797 | Ryan Matthew Quarless | Physician Assistant | 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 | 2006-05-04 |
| 1134177306 | Luke Alexander Pearsall | Physician Assistant | 3001 Lyndhurst Ave, Winston-salem, NC 27103-4007 | 2006-05-04 |
| 1760445118 | Paul Warren Bailey | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-07 |
| 1639139512 | Arthur Thomas Coppley | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-24 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MR. WILLIAM BENJAMIN SMITH III.
| 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.