CLINTON R. SMITH (NPI# 1306870662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306870662 |
| Entity Type | Individual |
| Full Name | CLINTON R. SMITH |
| Credential | M.D. |
| Practice Address |
620 Crossover Rd Tupelo MS 38801-4944 |
| Mailing Address |
Po Box 980 Tupelo MS 38802-0980 |
| Practice Telephone | 6626207102 |
| Practice Fax Number | 6626207106 |
| Mailing Telephone | 6626207102 |
| Mailing Fax Number | 6626207106 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
18558 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912339854 | Clinton Smith | Behavioral Analyst | 2 University Ct, Apt A7, Martin, TN 38237-4002 | 2013-08-02 |
| 1255512679 | Clinton M Smith | Nurse Anesthetist, Certified Registered | 14127 Roaring Fork Cir, Broomfield, CO 80023-3929 | 2007-11-14 |
| 1891791984 | Clinton M Smith | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2005-06-23 |
| 1679081988 | Clinton Smith | Pharmacist | 2171 S Highland Ave, Jackson, TN 38301-7739 | 2018-01-21 |
| 1811387905 | Clinton Karel Smith | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2015-01-28 |
| 1336585926 | Clinton Boone Smith | Family Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2013-05-22 |
| 1164764932 | Clinton James Smith | Psychologist | 6363 Forest Park Rd, Dallas, TX 75390-2553 | 2013-03-20 |
| 1710258538 | Clinton R. Smith | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2012-01-25 |
| 1992944128 | Clinton James Smith | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-02-11 |
| 1467586297 | Clinton Smith | Physical Therapist | 8 Professional Drive, Houma, LA 70360 | 2007-03-15 |
| Street Address |
620 CROSSOVER RD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918952 | Gillbert Daryl Hallman | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2005-08-02 |
| 1699169771 | Leland D Husband Jr. | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2015-03-26 |
| 1245469576 | William Russell Johnson | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2009-07-08 |
| 1144462300 | David Dean | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2009-04-01 |
| 1003027376 | Anthony David Junck | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2007-05-25 |
| 1700812740 | Joseph B Kelly Jr. | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2006-06-23 |
| 1760467914 | Sandra C Kochanski | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194772111 | Medical Imaging, LLC | Radiology | 616 Crossover Rd, Tupelo, MS 38801-4944 | 2006-05-27 |
| 1083669121 | Premier Radiology, Inc | Radiology | 620 Crossover Road, Tupelo, MS 38801 | 2006-05-24 |
| 1417907536 | Imaging Center At Gloster Creek Village Pllc | Radiology | 320 S Gloster St, Tupelo, MS 38801-4748 | 2006-05-11 |
| 1013918952 | Gillbert Daryl Hallman | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2005-08-02 |
| 1699169771 | Leland D Husband Jr. | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2015-03-26 |
| 1144651100 | Rpg Medical of North Mississippi LLC | Radiology | 320 S Gloster St, Ste B2, Tupelo, MS 38801-4748 | 2013-12-02 |
| 1245469576 | William Russell Johnson | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2009-07-08 |
| 1144462300 | David Dean | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2009-04-01 |
| 1003027376 | Anthony David Junck | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2007-05-25 |
| 1346460367 | Brandon W Skelton | Radiology | 499 Gloster Creek Vlg, Suite J7, Tupelo, MS 38801-4600 | 2007-05-01 |
| Find all providers in TUPELO | ||||
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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.