SMITH COSMETIC SURGERY CENTER (NPI# 1316074065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316074065 |
| Entity Type | Organization |
| Organization Name | SMITH COSMETIC SURGERY CENTER |
| Practice Address |
6410 Fannin St Suite 810 Houston TX 77030-3000 |
| Practice Telephone | 7137950600 |
| Practice Fax Number | 7137950862 |
| Mailing Telephone | 7137950600 |
| Mailing Fax Number | 7137950862 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEVIN RAYNARD SMITH (MEDICAL DOCTOR) |
| Authorized Official Telephone | 7137950600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
H2793 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | U79H | 01 |
| TX | OUR NPI FOR PALLADIUM | 1033274253 | 01 |
| TX | BLUE LINK | 3261901 | 01 |
| TX | TYPE 1 NPI | 1033185178 | 01 |
| Street Address |
6410 FANNIN ST SUITE 810 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758130 | Raymond A. Martin | Psychiatry & Neurology | 6410 Fannin St, Ste 1014, Houston, TX 77030-3000 | 2005-05-26 |
| 1841803756 | Bethany Wright Moura | Pediatrics | 6410 Fannin St, Houston, TX 77030-3000 | 2020-08-29 |
| 1922637255 | Brittany Dionne Jones-linares | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite Msb 4.020, Houston, TX 77030-3000 | 2020-04-08 |
| 1952933756 | Tania E De Los Reyes | Dietitian, Registered | 6410 Fannin St, Houston, TX 77030-3000 | 2020-02-10 |
| 1295296218 | Braden Fraser Goldberg | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2019-03-31 |
| 1073089827 | Alana Claire Cecchi | Genetic Counselor, MS | 6410 Fannin St, Houston, TX 77030-3000 | 2018-10-19 |
| 1609350370 | Dianna Joann Schmeda | Nurse Practitioner | 6410 Fannin St, Suite 950, Houston, TX 77030 | 2018-09-19 |
| 1770073645 | April Laquinta Moore | Nurse Practitioner | 6410 Fannin St, Houston, TX 77030-3000 | 2018-05-15 |
| 1639669872 | Ezra Yujin Koh | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 1400, Houston, TX 77030-3000 | 2018-05-14 |
| 1093210163 | Mesk Alrais | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2018-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033414115 | Philip Yosowitz, M.d., P.a. | Otolaryngology | 75515 S. Main, #730, Houston, TX 77030 | 2011-01-20 |
| 1003941790 | Hector Martinez Viera | Otolaryngology | 2530 W Holcombe Blvd, Houston, TX 77030-1904 | 2007-02-22 |
| 1194889642 | Russell William Kridel | Otolaryngology | 6655 Travis St Ste 900, Houston, TX 77030-1336 | 2006-12-20 |
| 1043879539 | Rodman Surgical Pllc | Otolaryngology | 9230 Katy Freeway, Suite 420, Houston, TX 77055-7705 | 2019-06-10 |
| 1215386057 | Clear Lake Facial Aesthetic & Reconstructive Surgery | Otolaryngology | 18100 Saint John Dr, Suite 240, Houston, TX 77058-3631 | 2016-06-11 |
| 1497062533 | Sinus Ent & Facial Plastic Surgery of Houston LLC | Otolaryngology | 2000 Crawford St, Ste 800 A, Houston, TX 77002 | 2010-09-10 |
| 1801121686 | The Belage Center, Pllc | Otolaryngology | 7700 San Felipe St, Suite 280, Houston, TX 77063-1611 | 2009-10-12 |
| 1740456482 | Scott A. Cohen M D | Otolaryngology | 6655 Travis St, Suite 840, Houston, TX 77030-1312 | 2008-05-02 |
| 1770755308 | Tang Ho | Otolaryngology | 6400 Fannin St, Suite 2700, Houston, TX 77030-1521 | 2008-03-24 |
| 1730265612 | Raghu Sudarshan Athre | Otolaryngology | 2121 Sage Rd, Suite 245, Houston, TX 77056-4390 | 2006-10-31 |
| Find all providers in HOUSTON | ||||
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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.