LEROY SMITH JR. (NPI# 1457334682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457334682 |
Entity Type | Individual |
Full Name | LEROY SMITH JR. |
Credential | MD |
Practice Address |
5226 Dawes Ave Alexandria VA 22311-1404 |
Practice Telephone | 7033799111 |
Practice Fax Number | 7039317952 |
Mailing Telephone | 7033799111 |
Mailing Fax Number | 7039317952 |
Enumeration Date | 2005-11-22 |
Last Update Date | 2012-03-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101018898 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | AMERIGROUP | 281815 | 01 |
UNITED HEALTHCARE | 3600054 | 01 | |
VA | 6024262 | 05 | |
VA | BSVA | 017081 | 01 |
ME TRAVELERS | 830003502 | 01 | |
DC | BLUE SHIELD DC | 0001 | 01 |
MEDICAID UNICARE | 6024262 | 01 | |
ALLIANCE MOIPA | 212333 | 01 | |
DC | BLUE SHIELD DC GRP | 3738 | 01 |
CAPITAL CARE | 37380001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457453532 | Leroy Andrew Smith | Orthopaedic Surgery | 1625 Se 3 Ave, Suite 700, Ft Lauderdale, FL 33316-2521 | 2006-09-01 |
1366849119 | Leroy Willie Smith | Social Worker | 14 S Broadway, Baltimore, MD 21231-1712 | 2014-11-21 |
1477857936 | Leroy Joseph Smith | Nurse Anesthetist, Certified Registered | 8000 Al Highway 69, Guntersville, AL 35976-7140 | 2010-12-27 |
1205095239 | Leroy Smith | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-05 |
1700830601 | Leroy Carter Smith | Family Medicine | 2755 Silver Creek Rd, Suite 111, Bullhead City, AZ 86442-7904 | 2006-05-22 |
Street Address |
5226 DAWES AVE |
City | ALEXANDRIA |
State | VA |
Zip Code | 22311-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730162967 | Mehrdad Ebadi-tehrani | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2005-11-22 |
1639223522 | Vinni Juneja | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2007-01-22 |
1346317930 | Rosemary Anne Jablonski | Nurse Practitioner | 5226 Dawes Ave, Alexandria, VA 22311 | 2006-11-29 |
1023091105 | Robert Francis Dobrzynski | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
1386179414 | Marian Ramirez Bautista | Nurse Practitioner | 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 | 2017-04-26 |
1710294327 | Heather Jo Knowles Scharre | Behavioral Analyst | 4876 West Braddock Road, Alexandria, VA 22311 | 2010-09-02 |
1790001980 | Soft Dentistry | Clinic/Center | 5508 Seminary Rd, Alexandria, VA 22311 | 2010-04-13 |
1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
1114109410 | Chong W. Lee, M.d., P.C. | Surgery | 4901 Seminary Road, #110, Alexandria, VA 22311 | 2007-11-29 |
1922298819 | Ramia Gupta | Psychiatry & Neurology | 4551 Strutfield Lane, #4220, Alexandria, VA 22311 | 2007-07-27 |
1942422431 | Sheila Jahan Md PC | Psychiatry & Neurology | 5238 Dawes Ave, Alexandria, VA 22311 | 2007-05-03 |
1457497380 | Elizabeth Anne Teegarden | Psychologist | 5276 Dawes Avenue, Alexandria, VA 22311 | 2007-01-29 |
1609932292 | James A Snyder | Dentist | 5284 Dawes Avenue, Alexandria, VA 22311 | 2006-12-28 |
Find all providers in zip 22311 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
1518092766 | Arjun Sood | Internal Medicine | 3543 W Braddock Rd Ste 400e, Alexandria, VA 22302-1900 | 2007-02-21 |
1942223144 | Dennis A Dobrzynski | Internal Medicine | 5226 Dawes Avenue, Alexandria, VA 22311 | 2006-07-26 |
1982672937 | Ivan Aksentijevich | Internal Medicine | 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 | 2006-03-08 |
1730162967 | Mehrdad Ebadi-tehrani | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2005-11-22 |
1285637314 | Bassam Abi-rached | Internal Medicine | 605b Medical Center Dr, Alexandria, LA 71301-8127 | 2005-05-23 |
1134389802 | Alina Huang | Internal Medicine | 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 | 2008-06-16 |
1902088040 | Christus Health Central Louisiana | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2007-11-30 |
1114129574 | Hematology Oncology Assoc Ltd | Internal Medicine | 5226 Dawes Avenue, Alexandria, VA 22311 | 2007-06-05 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22311 |
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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.