CARLOS F SMITH DPM PC (NPI# 1609063155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609063155 |
| Entity Type | Organization |
| Organization Name | CARLOS F SMITH DPM PC |
| Practice Address |
711 W North Ave Ste 210 Chicago IL 60610-1042 |
| Practice Telephone | 3126423440 |
| Practice Fax Number | 3126424319 |
| Mailing Telephone | 3126423440 |
| Mailing Fax Number | 3126424319 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | DR. CARLOS FREDERICK SMITH (PRESIDENT) |
| Authorized Official Telephone | 3126423440 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004833 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PALMETTO GBA | 480035349 | 01 |
| IL | 016004833 | 05 |
| Street Address |
711 W NORTH AVE STE 210 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548210339 | Qeena C Woodard | Podiatrist | 711 W North Ave, Suite 210, Chicago, IL 60610-1174 | 2006-05-11 |
| 1730611898 | Daniella Davida Brutman | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2017-03-29 |
| 1073963344 | Ann Tran | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2016-06-17 |
| 1881049583 | Kristen Gallagher | Obstetrics & Gynecology | 711 W North Ave, Chicago, IL 60610-1174 | 2016-05-01 |
| 1215301312 | Chicago Bright Smiles | Clinic/Center | 711 W North Ave, Suite 216, Chicago, IL 60610-1174 | 2015-11-30 |
| 1487028825 | Presence Chicago Hospitals Network | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-11-23 |
| 1043694045 | Julieta Lasala | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-07-20 |
| 1376982777 | Jessica Louise Rubino | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2013-06-19 |
| 1154765790 | George Herman Roepke IIi | Family Medicine | 711 W North Ave, Suite 209, Chicago, IL 60610-1174 | 2013-04-25 |
| 1265797021 | Gary Ray Fernandez | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
| 1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
| 1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
| 1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
| 1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
| 1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
| 1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
| 1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
| Find all providers in CHICAGO | ||||
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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.