MALCOLM C SMITH (NPI# 1629536214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629536214 |
| Entity Type | Individual |
| Full Name | MALCOLM C SMITH |
| Credential | NP |
| Practice Address |
400 Veterans Ave Biloxi MS 39531-2410 |
| Practice Telephone | 2285234947 |
| Mailing Telephone | 2285234947 |
| Mailing Fax Number | 2285235979 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
903210 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
903210 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732562 | Malcolm Derek Smith | Podiatrist | 1700 N 5th St, Ponca City, OK 74601-2762 | 2006-07-17 |
| 1407219751 | Malcolm Smith | Pharmacist | 1501 S Range Line Rd, Joplin, MO 64804-3230 | 2016-04-04 |
| 1932579927 | Malcolm Smith | Pediatrics | 9609 Medical Center Dr, Rm 5-w414, Msc 9737, Bethesda, MD 20892-0001 | 2015-10-02 |
| 1538336334 | Malcolm S Smith | Naturopath | 4225 Ne Tillamook St, Portland, OR 97213-1313 | 2008-05-12 |
| 1255419339 | Malcolm S. Smith | Internal Medicine | 7601 Stoneridge Dr, Pleasanton, CA 94588-4501 | 2006-11-02 |
| 1962422063 | Malcolm Iain Smith | Internal Medicine | 200 Medical Plaza, #365,530,420,120, Los Angeles, CA 90095 | 2006-07-20 |
| 1174525174 | Malcolm A Smith | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-08-10 |
| Street Address |
400 VETERANS AVE |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946864 | Cynthia Helwig | Nurse Practitioner | 400 Veterans Ave, Gulf Coast Va Medical Center-mental Health, Biloxi, MS 39531-2410 | 2005-10-18 |
| 1568060234 | Janet Sue Rush-pugh | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-10-14 |
| 1801494109 | Destin Parsley | Recreation Therapist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-10-09 |
| 1124630694 | Jenna Sewell | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-08-17 |
| 1144838251 | Michael David Prazak Jr. | Psychologist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-07-15 |
| 1790302891 | Robert John Swanson IIi | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-07-06 |
| 1750905105 | Gina Pierce Holloway | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-06-02 |
| 1578187068 | Elizabeth Gwin Koestler | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-06-01 |
| 1477176642 | Stephanie Leah Hall | Registered Nurse | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-05-22 |
| 1841819471 | Tonya Katina Fountain-adams | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205235 | Kathryn Markey Giardina | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2017-06-26 |
| 1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
| 1679882286 | Kelly Almond | Nurse Practitioner | 1720 Medical Park Dr, 340, Biloxi, MS 39532-2131 | 2010-09-29 |
| 1518161322 | Kerry Lance Hesselrode | Nurse Practitioner | 250 Beauvoir Rd Ste 5, Biloxi, MS 39531-4026 | 2007-06-14 |
| 1841374907 | Cynthia Green | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2006-10-25 |
| 1689610396 | Jamie Weaver Shedden | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
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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.