MR. EUGENE R SMITH III (NPI# 1336527548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336527548 |
| Entity Type | Individual |
| Full Name | MR. EUGENE R SMITH III |
| Credential | M.D. |
| Practice Address |
Naval Medical Ctr 34800 Bob Wilson Dr San Diego CA 92134-3300 |
| Practice Telephone | 6195325998 |
| Mailing Telephone | 6195325998 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891719084 | Eugene S Smith IIi | Internal Medicine | 4300 W Markham St, 111b, Little Rock, AR 72205-4024 | 2006-07-27 |
| 1114905130 | Eugene Freeman Smith | Psychiatry & Neurology | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-01-09 |
| 1134762966 | Eugene Wendell Smith | Pharmacist | 689 N Redwood Rd, Saratoga Springs, UT 84045-5190 | 2019-10-24 |
| 1487924544 | Eugene Neal Smith Sr. | Counselor | 68100 Ramon Rd Ste B10, Cathedral City, CA 92234-3388 | 2012-01-06 |
| 1326286758 | Eugene Smith | Internal Medicine | 270 Old Hook Rd, Westwood, NJ 07675-3117 | 2009-01-22 |
| 1124284948 | Eugene Smith | Counselor | 19 E Ormond Ave, Cherry Hill, NJ 08034-2053 | 2008-07-31 |
| 1831269414 | Eugene M Smith Jr. | Ophthalmology | 5555 Peachtree Dunwoody Rd, Ste 256, Atlanta, GA 30342 | 2006-11-09 |
| 1972605061 | Eugene Francis Smith Jr. | Surgery | 500 Lynnfield St, Lynn, MA 01904 | 2006-09-01 |
| 1174533954 | Eugene Harold Smith | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2006-08-08 |
| Street Address |
NAVAL MEDICAL CTR 34800 BOB WILSON DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325486 | Kobjit Waran Heaton | Specialist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2005-09-02 |
| 1942787296 | Jacob Michael Conrad | Dentist | Naval Medical Ctr, San Diego, CA 92134-0001 | 2018-07-19 |
| 1508352089 | Benjamin Hwang | Dentist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2018-07-08 |
| 1932604493 | Vivienne Nague | Pharmacist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-1098 | 2018-03-27 |
| 1932618055 | Drew Pearson | Dentist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-09-20 |
| 1942720230 | Maunoo Lee | Military Health Care Provider | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-06-27 |
| 1275053712 | Athena Mikros | Student in an Organized Health Care Education/Training Program | Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2017-06-26 |
| 1205362084 | Ryan Baxter | Military Health Care Provider | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-05-11 |
| 1205362266 | Sidney Perles | Military Health Care Provider | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-05-11 |
| 1962938068 | Eric Emerling | Student in an Organized Health Care Education/Training Program | Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-0001 | 2017-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
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| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692389 | Christopher Matey | Military Health Care Provider | 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 | 2020-05-29 |
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1588292858 | Korina Erin Sandoval | Military Health Care Provider | Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-31 |
| 1033746508 | Hannah Johnson | Military Health Care Provider | 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 | 2020-03-25 |
| 1891336541 | Prana Hands Nonprofit | Military Health Care Provider | 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 | 2019-10-03 |
| 1992366587 | Darion Pegues | Military Health Care Provider | 3530 Kelsey St, San Diego, CA 92124-3516 | 2019-06-24 |
| 1083275762 | Tyler Bradshaw Thompson | Military Health Care Provider | 34, Farenholt Ave, San Diego, CA 92134-0001 | 2019-06-24 |
| 1558924274 | Nathan Alley-byrd | Military Health Care Provider | Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2019-04-18 |
| 1013570290 | Mckennan A Cook | Military Health Care Provider | Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300 | 2019-04-15 |
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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.