RANDALL DAVID SMITH (NPI# 1467515130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467515130 |
| Entity Type | Individual |
| Full Name | RANDALL DAVID SMITH |
| Credential | M.D. |
| Practice Address |
3000 Herring Ave Waco TX 76708-3239 |
| Mailing Address |
14018 Harbor Dr Woodway TX 76712-7522 |
| Practice Telephone | 2542028611 |
| Mailing Telephone | 2547767309 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K2377 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1184177826 | Randall Smith | Counselor | 2303 Lamy Ln, Monroe, LA 71201 | 2016-07-29 |
| 1972845667 | Randall E. Smith | Marriage & Family Therapist | 9103 Trentham Ln, Louisville, KY 40242-3383 | 2013-03-21 |
| 1104179985 | Randall Bruce Smith | Nurse Practitioner | 2800 Opryland Dr, Nashville, TN 37214-1200 | 2012-10-18 |
| 1891085346 | Randall Ann Smith | Counselor | 160 S 600 E, #300, Salt Lake City, UT 84102-1962 | 2011-04-17 |
| 1093945289 | Randall James Smith | Pharmacist | 64 Congress St, Ink Plaza &the Other Pharmacy, Rumford, ME 04276-2003 | 2009-07-22 |
| 1316192388 | Randall Lamar Smith | Dentist | 4089 Val Tech Rd, Valdosta, GA 31602-0929 | 2008-11-18 |
| 1659412724 | Randall G. Smith | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-09 |
| 1730246844 | Randall Warren Smith | Chiropractor | 442 Sunnyside Ave., Wheaton, IL 60187-5006 | 2007-01-02 |
| Street Address |
3000 HERRING AVE |
| City | WACO |
| State | TX |
| Zip Code | 76708-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969805 | Diane D Wilson | Nurse Anesthetist, Certified Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2005-08-16 |
| 1760627194 | Melissa Xia | Dietitian, Registered | 3000 Herring Ave, Waco, TX 76708 | 2008-12-15 |
| 1538304605 | Lucinda Trippe Myers | Physical Medicine & Rehabilitation | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-12-03 |
| 1437304748 | Hillcrest Baptist Medical Center | Skilled Nursing Facility | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-12-01 |
| 1265681951 | Linda S. Marion | Dietitian, Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2008-09-17 |
| 1497931216 | Camela J Mojica | Dietitian, Registered | 3000 Herring Ave, 2f, Waco, TX 76708-3239 | 2008-01-10 |
| 1376725929 | Larry J Mundy Md Pa | Radiology | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-12-05 |
| 1245423607 | Heart of Texas Emergency Physicans | Emergency Medicine | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-08-20 |
| 1295928653 | Texas Em-1 Medical Services, Pa | Physician Assistant | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-08-20 |
| 1073636759 | Olivia Rae Freeman | Occupational Therapist | 3000 Herring Ave, Waco, TX 76708-3239 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548466766 | Emergency Medicine Doctor of Waco, Pa | Emergency Medicine | 3721 Herwol Ave, Waco, TX 76710-7218 | 2007-06-25 |
| 1205840238 | Daniel F Akers | Emergency Medicine | 1201 Hewitt Dr, Suite 203, Waco, TX 76712-8833 | 2006-07-27 |
| 1659333862 | Andrew B. Popejoy | Emergency Medicine | 322 Canterbury Dr, Waco, TX 76712-3992 | 2006-04-04 |
| 1740289800 | Jeffrey Lynn Arnold | Emergency Medicine | 6614 Sanger Ave, Waco, TX 76710-4253 | 2005-07-20 |
| 1962938191 | Plains Er Management Harco, Ltd | Emergency Medicine | 1411 N Valley Mills Dr, Waco, TX 76710-4460 | 2017-05-09 |
| 1417483140 | Express Er Harco Pa | Emergency Medicine | 1411 N Valley Mills Dr, Waco, TX 76710-4460 | 2017-05-01 |
| 1508314410 | Mclennan County Emergency Physicians, Pa | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-20 |
| 1154776425 | Jessica Lynn Lopez | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-04-25 |
| 1760865018 | Stephanie Dunlop | Emergency Medicine | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2015-07-06 |
| 1063755460 | Joel David Mendez | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2013-04-03 |
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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.