DR. THOMAS LARRY SMITH (NPI# 1184685976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184685976 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LARRY SMITH |
| Credential | MD |
| Practice Address |
2200 Opitz Blvd Suite 100 Woodbridge VA 22191-3321 |
| Practice Telephone | 7034924140 |
| Practice Fax Number | 7039918104 |
| Mailing Telephone | 7034924140 |
| Mailing Fax Number | 7039918104 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101052153 | VA | Other Service Providers |
| Y | 207N00000X | Dermatology | 101052153 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5900409 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1407320120 | Thomas B Smith | Non-emergency Medical Transport (VAN) | 2000 Abbott Cv, Cordova, TN 38016-3526 | 2019-01-15 |
| 1952802357 | Thomas Lloyd Smith Jr. | Contractor | 12291 Commonwealth Avenue, Exmore, VA 23350-1371 | 2018-02-22 |
| 1730614553 | Thomas E Smith | Social Worker | 2940 E Park Ave, Suite 1a, Tallahassee, FL 32301-3446 | 2017-04-30 |
| 1417292749 | Thomas Anson Smith | Ophthalmology | 9830 Lakeshore, West Olive, MI 49460-9553 | 2012-11-27 |
| 1710230750 | Thomas Joseph Smith | Pharmacist | W166n10560 Surrey Dr, Germantown, WI 53022-3948 | 2012-10-15 |
| 1679724280 | Thomas Seldon Smith Jr. | Dentist | 130 Us Hwy 64e, Laurel Terrace Unit 12, Cashiers, NC 28717-0451 | 2008-10-02 |
| 1144488057 | Thomas A Smith | Specialist | 10447 Hart Branch Cir, Orlando, FL 32832-5915 | 2008-05-28 |
| Street Address |
2200 OPITZ BLVD SUITE 100 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678508 | Susan H. Shuster | Counselor | 2200 Opitz Blvd, Suite # 214a, Woodbridge, VA 22191-3321 | 2005-09-08 |
| 1194367664 | Senior Transport,inc. | Non-emergency Medical Transport (VAN) | 2200 Opitz Blvd, Woodbridge, VA 22191-3321 | 2019-10-16 |
| 1952787996 | Michelle Marie Stockhaus | Nurse Practitioner | 2200 Opitz Blvd, Suite 335, Woodbridge, VA 22191-3321 | 2015-07-31 |
| 1669878997 | Potomac Orthodontics Pllc | Dentist | 2200 Opitz Blvd, Suite 370, Woodbridge, VA 22191-3321 | 2014-11-13 |
| 1659796167 | Alicia Le Nguyen Hutchison | Dentist | 2200 Opitz Blvd, Suite 370, Woodbridge, VA 22191-3321 | 2014-02-20 |
| 1164857603 | Prime Care Sleep Center | Clinic/Center | 2200 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3321 | 2013-09-03 |
| 1871725325 | Uppasna Chand | Dentist | 2200 Opitz Blvd, Suite 220, Woodbridge, VA 22191-3321 | 2009-08-18 |
| 1932366648 | Janice N Rasmussen | Nurse Practitioner | 2200 Opitz Blvd, Ste 245, Woodbridge, VA 22191-3343 | 2008-05-20 |
| 1538341540 | Mri of Woodbridge | Radiology | 2200 Opitz Blvd, Suites 335&320, Woodbridge, VA 22191-3321 | 2007-11-30 |
| 1063692119 | Mri Associates of Virginia | Radiology | 2200 Opitz Blvd, Woodbridge, VA 22191-3321 | 2007-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629090501 | Richard J Hwang Md PC | Dermatology | 2022 Opitz Blvd, Suite A, Woodbridge, VA 22191-3306 | 2006-07-23 |
| 1326221755 | Richard John Hwang | Dermatology | 2022 Opitz Blvd, Suite A, Woodbridge, VA 22191-3323 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428709 | Clinical Dermatology Center, LLC | Dermatology | 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 | 2020-05-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1194383372 | Clarity Acne and Aesthetics LLC | Dermatology | 3345 Bridge Rd Ste 900, Suffolk, VA 23435-1848 | 2019-06-03 |
| 1356821235 | Sdm Virginia LLC | Dermatology | 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 | 2018-08-20 |
| 1851877336 | Keri Church | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2018-07-17 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1710479936 | Integrated Dermatology of Gloucester, LLC | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 2018-06-04 |
| 1477077071 | Dulles Dermatology Associates, Pllc | Dermatology | 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 | 2017-07-26 |
| 1487186466 | Integrated Dermatology of Reston, LLC | Dermatology | 1886 Metro Center Dr Ste 650, Reston, VA 20190-5294 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.