CHARLES MICHAEL SMITH JR. (NPI# 1578569687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578569687 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL SMITH JR. |
| Credential | M.D. |
| Practice Address |
6025 Walnut Grove Rd Ste 508 Memphis TN 38120-2125 |
| Practice Telephone | 9017675864 |
| Practice Fax Number | 9017676591 |
| Mailing Telephone | 9017675864 |
| Mailing Fax Number | 9017676591 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD26141 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD26141 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1912563404 | Charles W Smith | Physical Therapist | 230 Holland Rd, Holland, PA 18966-1702 | 2019-05-10 |
| 1528527520 | Charles E Smith | Physical Therapist | 4048 Cedar Bluff Dr Ste 2, Petoskey, MI 49770-8895 | 2019-03-19 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1437651452 | Charles Anthony Smith | Behavior Technician | 8021 36th Ave N, St Petersburg, FL 33710-1011 | 2018-03-06 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1588189765 | Charles Russell Smith Jr. | Counselor | 152 Dunn Rd, Ashburnham, MA 01430-3043 | 2017-08-08 |
| 1982145090 | Charles Kershaw Smith | Pharmacist | 803 Brantenburg Way, Lutz, FL 33548-7934 | 2017-03-09 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| Street Address |
6025 WALNUT GROVE RD STE 508 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478103 | Emmel B. Golden Jr. | Internal Medicine | 6025 Walnut Grove Rd, Ste 508, Memphis, TN 38120-2125 | 2005-06-21 |
| 1366957623 | Baptist Memorial Hospital | Pharmacy | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2017-12-08 |
| 1891159364 | Laura Shea Mccloskey | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2016-04-11 |
| 1033596218 | Amanda Allen | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 111, Memphis, TN 38120-2131 | 2015-04-27 |
| 1558758318 | James Daniel Carson | Student in an Organized Health Care Education/Training Program | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2015-04-20 |
| 1891186912 | Jaime Watkins | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 111, Memphis, TN 38120-2131 | 2015-02-11 |
| 1154736239 | Sameh Fikry Askandar | Student in an Organized Health Care Education/Training Program | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2014-06-26 |
| 1821418104 | Amy S. Thomas | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2014-04-24 |
| 1962755405 | Carrie-ann Hogan | Pharmacist | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2012-10-22 |
| 1811279656 | Memphis Lung Physicians Foundation, Inc. | Internal Medicine | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154506210 | Sleep and Pulmounary Speacialists Pllc | Internal Medicine | Regional One Extended Care Ltac, 890 Madison Ave, Memphis, TN 38103 | 2008-01-08 |
| 1689665903 | Joseph A Blythe | Internal Medicine | 3557 S Galloway Dr, Memphis, TN 38111-6816 | 2005-11-04 |
| 1649275322 | James W Adams II | Internal Medicine | 6005 Park Ave Ste 1004b, Memphis, TN 38119-5225 | 2005-06-17 |
| 1083980031 | Cristobal Fernando Risquez Cordovez | Internal Medicine | 1325 Eastmoreland Ave Ste 370, Memphis, TN 38104 | 2012-03-23 |
| 1609193093 | Julia H Barton | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2010-04-26 |
| 1144543281 | Blythe Medical Services | Internal Medicine | 3557 S Galloway Dr, Memphis, TN 38111-6816 | 2010-03-03 |
| 1336384585 | Amik Sodhi | Internal Medicine | 956 Court Ave, Suite G212a, Memphis, TN 38163 | 2008-12-02 |
| 1720093859 | Bellevue Pulmonary Associates PC | Internal Medicine | 1211 Union Ave, Suite 120, Memphis, TN 38104-6638 | 2006-07-29 |
| 1053340166 | Memphis Lung Physicians, P.C. | Internal Medicine | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2006-07-01 |
| 1114984747 | John P Griffin | Internal Medicine | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-27 |
| Find all providers in MEMPHIS | ||||
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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.