EDWARD SMITH (NPI# 1164895405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164895405 |
| Entity Type | Individual |
| Full Name | EDWARD SMITH |
| Credential | PA-C |
| Practice Address |
6011 E Woodmen Rd Suite 120 Colorado Springs CO 80923-2602 |
| Mailing Address |
2222n Nevada Ave 4007 Colorado Springs CO 80907-6863 |
| Practice Telephone | 7195718600 |
| Mailing Telephone | 7197668500 |
| Mailing Fax Number | 7196341448 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0004445 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346892452 | Edward A Smith | Physical Therapist | 2647 N Veterans Blvd, Eagle Pass, TX 78852-6665 | 2019-07-10 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1891125688 | Edward Smith | Counselor | 3609 Memory Ln, Raleigh, NC 27604-4127 | 2013-11-15 |
| 1831447267 | Edward L Smith | Dentist | 340 Aptos Ridge Circle, Watsonville, CA 95076 | 2012-08-15 |
| 1699078097 | Edward Lynn Smith | Counselor | 1179 Nw 97th Dr, Coral Springs, FL 33071-5962 | 2010-12-07 |
| 1073822607 | Edward Hardin Smith Jr. | Dermatology | 514 Winchester Dr, Augusta, GA 30909-3236 | 2010-09-30 |
| 1184956443 | Edward Smith | Massage Therapist | 471 Jones Rd, Vestal, NY 13850-5244 | 2010-02-10 |
| 1821278896 | Edward Albert Smith | Internal Medicine | 2036 E Hackamore St, Mesa, AZ 85213-4003 | 2007-11-07 |
| 1740482017 | Edward Charles Smith | Spec/Tech, Cardiovascular | 3303 6th Ave, Des Moines, IA 50313-4136 | 2007-05-31 |
| 1790997708 | Edward Huntington Smith Jr. | Specialist/Technologist | 7001 W 56th Street, Indianapolis, IN 46254 | 2007-05-03 |
| Street Address |
6011 E WOODMEN RD SUITE 120 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508505 | Pamela Ann Taylor | Internal Medicine | 6011 E Woodmen Rd, Ste 120, Colorado Springs, CO 80923-2603 | 2005-06-20 |
| 1699384339 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 6011 E Woodmen Rd, Colorado Springs, CO 80923-2602 | 2020-07-29 |
| 1346631504 | Centura Ventures, LLC | Clinic/Center | 6011 E Woodmen Rd, Suite 100, Colorado Springs, CO 80923-2602 | 2015-02-10 |
| 1386042844 | Pain and Spine At St. Francis | Anesthesiology | 6011 E Woodmen Rd, Suite 365, Colorado Springs, CO 80923-2602 | 2014-12-16 |
| 1841604303 | Timothy Terry | Physical Therapist | 6011 E Woodmen Rd, Colorado Springs, CO 80923-2602 | 2014-06-12 |
| 1295073898 | David Scott Mcintosh | Massage Therapist | 6011 E Woodmen Rd, Suite 100, Colorado Springs, CO 80923-2602 | 2013-01-17 |
| 1679843874 | Centura Ventures, LLC | Clinic/Center | 6011 E Woodmen Rd, Suite 100, Colorado Springs, CO 80923-2605 | 2012-01-04 |
| 1073882197 | Centura Ventures,llc | Clinic/Center | 6011 E Woodmen Rd, Ste 100, Colorado Springs, CO 80923-2605 | 2011-12-19 |
| 1245558931 | Foot and Ankle Surgical Assistants LLC | Physician Assistant | 6011 E Woodmen Rd, Colorado Springs, CO 80923-2602 | 2010-05-05 |
| 1720301344 | Your Family Medical Home,pllc | Family Medicine | 6011 E Woodmen Rd, Suite 300, Colorado Springs, CO 80923-2602 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on EDWARD 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.