DEREK R SMITH (NPI# 1407869019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407869019 |
| Entity Type | Individual |
| Full Name | DEREK R SMITH |
| Credential | MD |
| Practice Address |
One Towne Park Plaza Norwich CT 06360 |
| Mailing Address |
1 Towne Park Plz Norwich CT 06360-2247 |
| Practice Telephone | 8608861433 |
| Practice Fax Number | 8608864644 |
| Mailing Telephone | 8608861433 |
| Mailing Fax Number | 8608864644 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
43390 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001433903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496110 | Derek Jenkins Smith | Home Health Aide | 2514 24th St Ne, Washington, DC 20018-2126 | 2020-01-10 |
| 1922511765 | Derek Smith | Counselor | 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 | 2017-11-15 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1518375682 | Derek Smith | Chiropractor | 809 Iroquois Cir, Baraboo, WI 53913-1248 | 2014-08-01 |
| 1386066082 | Derek Smith | Pharmacist | 727 E Main St, Havana, IL 62644-1530 | 2014-01-15 |
| 1730522863 | Derek K Smith | Student in an Organized Health Care Education/Training Program | 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 | 2013-04-08 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1780937961 | Derek Smith | Physical Therapist | 7405 W Arizona Pl, Lakewood, CO 80232-5416 | 2012-10-24 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| 1255981601 | Derek Smith | Nurse Practitioner | 3601 4th St, Lubbock, TX 79430-0002 | 2019-09-18 |
| Street Address |
ONE TOWNE PARK PLAZA |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982711586 | David Tinklepaugh | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093145781 | Priya Narwal | Psychiatry & Neurology | 330 Washington St Ste 520, Norwich, CT 06360-2700 | 2013-11-18 |
| 1215356399 | Sandhya Mehla | Psychiatry & Neurology | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2014-04-15 |
| 1821266164 | Neuro Diagnostics LLC | Psychiatry & Neurology | 330 Washington St, Norwich, CT 06360-2700 | 2008-02-20 |
| 1245397348 | Safaa Shakik Hakim | Psychiatry & Neurology | 12 Case Street, Suite 307, Norwich, CT 06360 | 2007-01-02 |
| 1003915778 | John P Tauro | Psychiatry & Neurology | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2006-09-21 |
| 1982711586 | David Tinklepaugh | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-23 |
| 1205943891 | Anis Racy | Psychiatry & Neurology | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2006-08-23 |
| 1255358230 | Maria L. Moro-de-casillas | Psychiatry & Neurology | 1 Towne Park Plz, Norwich, CT 06360 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
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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.