DR. ALEKSANDER RAPHAEL SMITH (NPI# 1336434638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336434638 |
| Entity Type | Individual |
| Full Name | DR. ALEKSANDER RAPHAEL SMITH |
| Credential | M.D. |
| Practice Address |
2411 Ring Rd Ste 105 Elizabethtown KY 42701-5930 |
| Mailing Address |
Po Box 2119 Elizabethtown KY 42702-2119 |
| Practice Telephone | 2707065265 |
| Practice Fax Number | 2707065523 |
| Mailing Telephone | 2707065265 |
| Mailing Fax Number | 2707065523 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 49294 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Temple, TX 765080001 | 8593512815 |
| Street Address |
2411 RING RD STE 105 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861646374 | Robert Edward Wilson Jr. | Otolaryngology | 2411 Ring Rd Ste 105, Elizabethtown, KY 42701-5930 | 2008-11-11 |
| 1801115522 | German S Fikhman | Otolaryngology | 2411 Ring Rd Ste 105, Elizabethtown, KY 42701-5930 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215366364 | Larry Joe Hall | Otolaryngology | 790 North Dixie Suite 800, Elizabethtown, KY 42701 | 2013-11-08 |
| 1861646374 | Robert Edward Wilson Jr. | Otolaryngology | 2411 Ring Rd Ste 105, Elizabethtown, KY 42701-5930 | 2008-11-11 |
| 1306894704 | Hardin Professional Services, LLC | Otolaryngology | 2407 Ring Rd Ste 108, Elizabethtown, KY 42701-5938 | 2006-05-05 |
| 1801115522 | German S Fikhman | Otolaryngology | 2411 Ring Rd Ste 105, Elizabethtown, KY 42701-5930 | 2010-05-20 |
| 1134120934 | Bruce Alexander Wolf | Otolaryngology | 906 Woodland Dr, Suite 102, Elizabethtown, KY 42701-2752 | 2005-08-03 |
| 1669473468 | Kiro John Yun | Otolaryngology | 101 Financial Pl Ste 104, Elizabethtown, KY 42701-8481 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
| 1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
| 1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
| 1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
| 1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
| 1386057818 | Adiavni LLC | Otolaryngology | 280 Cumberland Trace Rd, Apt. 417, Bowling Green, KY 42103-9099 | 2014-06-02 |
| 1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
| 1760746150 | Jessica Leigh Lange | Otolaryngology | 120 N Eagle Creek Dr Ste 102, Lexington, KY 40509-1827 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.