CASSIDY SMITH (NPI# 1548610975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548610975 |
| Entity Type | Individual |
| Full Name | CASSIDY SMITH |
| Credential | D.O. |
| Practice Address |
122 12th St Princeton WV 24740-2312 |
| Mailing Address |
118 12th Street Princeton WV 24740 |
| Practice Telephone | 3044877000 |
| Mailing Telephone | 3044315168 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 3473 | WV | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 3473 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14000 Fivay Rd, Hudson, FL 346677103 | 7278192966 | 7278192928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902398977 | Cassidy Smith | Specialist/Technologist | 2958 Kalei Rd, Honolulu, HI 96826-1801 | 2018-06-05 |
| 1083239693 | Cassidy Smith | Technician, Other | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2020-06-09 |
| 1659835619 | Cassidy Smith | Counselor | 495 E Main St, Columbus, OH 43215-5349 | 2019-01-24 |
| 1568931095 | Cassidy Jordan Smith | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2018-11-14 |
| 1033686373 | Cassidy Allison Smith | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008 | 2018-10-24 |
| 1114493731 | Cassidy Anne Smith | Counselor | 613 Superior Ln, Yakima, WA 98902-1623 | 2018-10-22 |
| 1801318738 | Cassidy Rose Smith | Physician Assistant | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 | 2017-07-12 |
| Street Address |
122 12TH ST |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326049586 | Thomas Charles Martin Jr. | Pathology | 122 12th St, Princeton, WV 24740-2312 | 2005-08-09 |
| 1508495169 | Valerie Renee Mould | Pharmacist | 122 12th St, Princeton, WV 24740-2312 | 2020-04-06 |
| 1295360501 | Kaitlin Douglas | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2020-03-06 |
| 1851843114 | Phillip Sean Mckenzie | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2016-11-02 |
| 1508310814 | Corey White | Internal Medicine | 122 12th St, Princeton, WV 24740-2312 | 2016-08-04 |
| 1649666488 | Ryan Craddock | Internal Medicine | 122 12th St, Princeton, WV 24740 | 2015-04-08 |
| 1912307323 | Megan Alyse Meadows | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2014-09-04 |
| 1497193007 | Shawn L. Vest | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2013-06-06 |
| 1780997098 | Arthi Vasudevan Price | Physician Assistant | 122 12th St, Princeton, WV 24740-2312 | 2010-07-16 |
| 1356527311 | Pennie Faith Goins | Nurse Practitioner | 122 12th St, Princeton, WV 24740-2312 | 2008-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341872 | Mid West Hospital Physicians, Pllc | Hospitalist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790164184 | Elizabeth P. Lane | Hospitalist | 3100 Maccorkle Ave Se Ste B16, Charleston, WV 25304 | 2015-05-19 |
| 1891134706 | Harish Pulluru | Hospitalist | 3200 Maccorkle Ave Se Ste B-16, Charleston, WV 25304-1227 | 2013-06-24 |
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1194232801 | South Branch Hospitalist and Internal Medicine Group Pllc | Hospitalist | 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 | 2018-01-03 |
| 1790231025 | Ridwaan Albeiruti | Hospitalist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-08-28 |
| 1740733187 | Shenell A Bernard | Hospitalist | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-08-02 |
| 1225481443 | Muhammad Ijaz Pervez | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-07-22 |
| 1649626102 | Sean Regner | Hospitalist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-05-13 |
| 1962857888 | Vijayalakshmi Chinta | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-04-28 |
| 1013370998 | Christina Kitsos | Hospitalist | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-03-30 |
| 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.