MARK O SMITH (NPI# 1275505026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275505026 |
| Entity Type | Individual |
| Full Name | MARK O SMITH |
| Credential | M.D. |
| Practice Address |
1650 Skylyn Dr Ste 240 Spartanburg SC 29307-1069 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645771600 |
| Practice Fax Number | 8642787085 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 40212 | SC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101-040639 | VA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
40212 | SC | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
0101-040639 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1275505026 | 05 | |
| SC | 402120 | 05 | |
| SC LICENSE # | 40212 | 01 | |
| SC | MEDICARE PIN | SC97127628 | 01 |
| VA | 010018919 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| Street Address |
1650 SKYLYN DR STE 240 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225677297 | Alisha Cartledge | Nurse Practitioner | 1650 Skylyn Dr Ste 240, Spartanburg, SC 29307-1069 | 2019-12-23 |
| 1205194461 | Kristin Renee Williams | Surgery | 1650 Skylyn Dr Ste 240, Spartanburg, SC 29307-1069 | 2012-04-25 |
| 1992817092 | Dennis Edward Mayer | Surgery | 1650 Skylyn Dr Ste 240, Spartanburg, SC 29307-1069 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1548526783 | William Charles Elston | Surgery | 339 Fairlane Dr, Spartanburg, SC 29307-3840 | 2012-04-02 |
| 1043441736 | Michael G Mount | Surgery | 853 N Church St Ste 500, Spartanburg, SC 29303-3077 | 2009-07-29 |
| 1477508877 | Sylvia S Tarazi | Surgery | 385 Serpentine Dr, Spartanburg, SC 29303-3018 | 2006-05-23 |
| 1306803200 | Ernest Camp IIi | Surgery | 16 Drayton Ct, Spartanburg, SC 29301-6519 | 2006-04-26 |
| 1457316978 | Christope Liem Nguyen | Surgery | 101 E Wood St Fl 3, Spartanburg, SC 29303 | 2006-04-18 |
| 1386607349 | Richard Bennett Reinhardt Jr. | Surgery | 1330 Boiling Springs Rd Ste 2300, Spartanburg, SC 29303 | 2006-04-10 |
| 1659332815 | James D Dunn | Surgery | 324 N Pine St, Spartanburg, SC 29302-1631 | 2006-03-29 |
| 1144297888 | Auburn Woods IIi | Surgery | 1330 Boiling Springs Road, Suite 2300, Spartanburg, SC 29303 | 2006-03-01 |
| 1336110519 | Thomas Allen Mcleod | Surgery | 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201 | 2006-01-27 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.