KAMILIA TAGI SMITH MD PLLC (NPI# 1558826933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558826933 |
| Entity Type | Organization |
| Organization Name | KAMILIA TAGI SMITH MD PLLC |
| Other Organization Name | CHARLESTON HOUSE GYNECOLOGY |
| Practice Address |
3611 Swiss Ave Ste 201 Dallas TX 75204-6245 |
| Practice Telephone | 2144779239 |
| Mailing Telephone | 2148213313 |
| Mailing Fax Number | 2142471160 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | DR. KAMILIA TAGI SMITH (PHYSICIAN/PRACTICE OWNER) |
| Authorized Official Telephone | 2144779239 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Charleston House Gynecology | Doing Business As Name - Organization |
| Street Address |
3611 SWISS AVE STE 201 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-6245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942419163 | Kamilia Sabbagh Tagi Smith | Obstetrics & Gynecology | 3611 Swiss Ave Ste 201, Dallas, TX 75204-6245 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1982953469 | Modern Gynecology, Pllc | Obstetrics & Gynecology | 3822 Bowser Ave., Dallas, TX 75219-4301 | 2012-08-30 |
| 1073746160 | Leesa Blake Condry | Obstetrics & Gynecology | 3605 Lexington Ave, Dallas, TX 75205-3916 | 2009-08-24 |
| 1427285915 | Martin Leon Freifeld | Obstetrics & Gynecology | 32 Shrine Vw, Dallas, PA 18612-9213 | 2009-06-11 |
| 1740463314 | Charles P. Guerriero IIi, Md | Obstetrics & Gynecology | 8315 Walnut Hill Ln Ste 105, Dallas, TX 75231-4248 | 2007-12-06 |
| 1609079805 | Angela F Walker | Obstetrics & Gynecology | 7777 Forest Ln D570, Dallas, TX 75230-2559 | 2007-06-06 |
| 1962619791 | Nancy Sue Silverblatt | Obstetrics & Gynecology | 10529 Sandpiper Ln, Dallas, TX 75230-4218 | 2007-05-17 |
| 1154309656 | Glen Wayne Heckman | Obstetrics & Gynecology | 3801 Gaston Avenue, Suite 200, Dallas, TX 75246-1619 | 2006-01-04 |
| 1477184398 | The Livingston Agency, Pllc | Obstetrics & Gynecology | 16970 Dallas Pkwy Ste 500, Dallas, TX 75248-1983 | 2020-01-29 |
| Find all providers in DALLAS | ||||
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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.