DR. ELLEN BLAIR SMITH (NPI# 1558305490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558305490 |
| Entity Type | Individual |
| Full Name | DR. ELLEN BLAIR SMITH |
| Credential | M.D. |
| Practice Address |
901 W 38th St Suite 200 Austin TX 78705-1165 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 5124199733 |
| Practice Fax Number | 5124513709 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
F0313 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 128726006 | 05 | |
| TX | RAILROAD MEDICARE NUMBER | 830004600 | 01 |
| TX | 128726007 | 05 | |
| TX | 128726003 | 05 | |
| TX | 0811853-01 | 05 | |
| TX | BCBS OF TX | 8BP361 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1972093870 | Ellen Smith | Social Worker | 60 Mountain St, Haydenville, MA 01039-9723 | 2018-05-16 |
| 1023528783 | Ellen Marie Smith | Specialist/Technologist | 3662 E Carmel Dr, Carmel, IN 46033-4317 | 2017-10-09 |
| 1457716474 | Ellen Crystal Smith | Counselor | 107-41 Van Wyck Expressway, Jamaica, NY 11435 | 2015-12-17 |
| 1932593688 | Ellen Katherine Smith | Massage Therapist | 10225 Se Raymond St, Portland, OR 97266-3635 | 2015-03-20 |
| 1063844587 | Ellen Elizabeth Smith | Dietitian, Registered | 8600 Pontchartrain Blvd, 410, New Orleans, LA 70124-2440 | 2013-08-07 |
| 1437435468 | Ellen Gray Smith | Occupational Therapist | 11 Pellett St, Norwich, NY 13815-1209 | 2011-10-21 |
| 1750534400 | Ellen Smith | Specialist | 2143 Singing Woods Dr, Skaneateles, NY 13152-8933 | 2008-10-28 |
| 1023273513 | Ellen Elizabeth Smith | Social Worker | 500 7th Avenue South, Dept. 7470, St. Petersburg, FL 33731-8920 | 2008-07-23 |
| 1083731772 | Ellen Anderson Smith | Physician Assistant | 14093 Roaring Fork Cir, Broomfield, CO 80020-3924 | 2007-03-26 |
| Street Address |
901 W 38TH ST SUITE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861897 | Russell A Hayhurst | Ophthalmology | 901 W 38th St, Ste 303, Austin, TX 78705-1163 | 2005-09-14 |
| 1124598917 | Seton Oral & Maxillofacial Surgery | Dentist | 901 W 38th St, Suite 410, Austin, TX 78705 | 2018-12-05 |
| 1437532850 | Wilshire Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-07-02 |
| 1336522754 | Sc Spine Partners LLC | Nurse Anesthetist, Certified Registered | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-07-02 |
| 1609265891 | Abs Spine Partners LLC | Clinic/Center | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2015-01-12 |
| 1972925105 | Michelle Kim | Dentist | 901 W 38th St, Suite 410, Austin, TX 78705-1163 | 2014-01-07 |
| 1457617821 | Westlake Interventional Pain Center LLC | Clinic/Center | 901 W 38th St, Suite 101, Austin, TX 78705-1163 | 2012-04-10 |
| 1992071922 | Cristina Salazar | Physician Assistant | 901 W 38th St, Suite 301, Austin, TX 78705-1163 | 2012-03-23 |
| 1174897870 | Rachel Alicia Smith | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2012-02-28 |
| 1720370760 | Lauren Nicole Sederholm | Physician Assistant | 901 W 38th St, Suite 200, Austin, TX 78705-1163 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232467 | John L. Dalrymple | Obstetrics & Gynecology | 911 W 38th St, Suite 202, Austin, TX 78705-1188 | 2005-11-16 |
| 1619207040 | Rachel Michele Brightwell | Obstetrics & Gynecology | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2010-01-07 |
| 1316109648 | Kassondra Suzanne Grzankowski | Obstetrics & Gynecology | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2008-06-27 |
| 1215195516 | Helen Dinkelspiel Eshed | Obstetrics & Gynecology | 6204 Balcones Dr, Austin, TX 78731-4214 | 2008-05-23 |
| 1568561397 | Lynne Marie Knowles | Obstetrics & Gynecology | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-09-21 |
| 1801834809 | Michael Guy Teneriello | Obstetrics & Gynecology | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-06-02 |
| 1427016989 | Angela S Kueck | Obstetrics & Gynecology | 12221 Renfert Way, #300, Austin, TX 78758-5444 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779299 | Beverly Gail Hutzler | Obstetrics & Gynecology | 4502 Medical Dr # 71-1, San Antonio, TX 78229-4402 | 2020-01-07 |
| 1548827496 | Jeffrey Andrew How | Obstetrics & Gynecology | 1155 Herman Pressler, Unit 1362, Houston, TX 77030-4000 | 2019-05-28 |
| 1790123156 | Hatem Hatem | Obstetrics & Gynecology | 7719 S Ih 35 Ste 220, San Antonio, TX 78224-1469 | 2013-06-07 |
| 1619286465 | Behrouz Zand | Obstetrics & Gynecology | 18100 St. John Dr., Suite 250, Nassau Bay, TX 77058 | 2010-09-28 |
| 1033435367 | Abel Moron | Obstetrics & Gynecology | 12200 Park Central Dr Ste 410, Dallas, TX 75251-2101 | 2010-04-12 |
| 1043295728 | Christine M. Lee | Obstetrics & Gynecology | 920 Medical Plaza Dr Ste 300, Shenandoah, TX 77380-3256 | 2005-12-14 |
| 1467435982 | Carlos Alberto Herrera | Obstetrics & Gynecology | 2717 Michael Angelo, Ste 304, Edinburg, TX 78539 | 2005-11-29 |
| 1184615452 | Edward Robert Kost | Obstetrics & Gynecology | 903 W Martin St, San Antonio, TX 78207-0903 | 2005-11-04 |
| 1487659876 | Mark Brendan Reedy | Obstetrics & Gynecology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2005-06-14 |
| 1376017715 | Oncology Specialists of Texas, Pllc | Obstetrics & Gynecology | 17350 St Lukes Way Ste 350, The Woodlands, TX 77384-4103 | 2019-01-18 |
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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.