TODD SMITH (NPI# 1649673898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649673898 |
| Entity Type | Individual |
| Full Name | TODD SMITH |
| Credential | PA |
| Practice Address |
1625 Se 3rd Ave Suite 300 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1608 Se 3rd Ave Third Floor Pbo Fort Lauderdale FL 33316-2564 |
| Practice Telephone | 9543554665 |
| Practice Fax Number | 9543554881 |
| Mailing Telephone | 9543554665 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1003 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9108182 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015493500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1598957672 | Todd D Smith | Physical Therapist | 743 Newhall St E, Lehigh Acres, FL 33974-9411 | 2007-08-13 |
| 1689730582 | Todd D Smith | Physical Therapist | 847 Holt Rd, Webster, NY 14580-9193 | 2006-12-28 |
| 1639230741 | Todd Lawrence Smith | Chiropractor | 1801 Crooks Ave, Kaukauna, WI 54130-3245 | 2006-12-12 |
| 1528153202 | Todd Ripley Smith | Optometrist | 2030 Texas St, Vernon, TX 76384-4450 | 2006-10-04 |
| 1831202076 | Todd Freeman Smith Sr. | Optometrist | 521 W Olney Ave, Philadelphia, PA 19120-2217 | 2006-08-15 |
| 1871517383 | Todd E Smith | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2006-07-27 |
| 1760426316 | Todd Smith | Family Medicine | 7 South Hospital Drive, Murphysboro, IL 62966-3333 | 2006-06-15 |
| 1619936804 | Todd A Smith | Family Medicine | 6936 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016-4661 | 2006-03-17 |
| 1174599732 | Todd B Smith | Orthopaedic Surgery | 20920 W 151st St Ste 100, Olathe, KS 66061-7243 | 2006-02-24 |
| Street Address |
1625 SE 3RD AVE SUITE 300 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689349 | Channing B. Coe | Obstetrics & Gynecology | 1625 Se 3rd Ave, Suite 701, Fort Lauderdale, FL 33316-2521 | 2005-06-20 |
| 1598139586 | Noor Aesheh Taraben | Dietitian, Registered | 1625 Se 3rd Ave, Suite 415, Fort Lauderdale, FL 33316-2521 | 2015-11-14 |
| 1104294099 | Andrea Burns | Physician Assistant | 1625 Se 3rd Ave, Suite 300, Fort Lauderdale, FL 33316-2521 | 2015-09-09 |
| 1457763740 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Ave, Suite 601, Fort Lauderdale, FL 33316-2521 | 2014-05-21 |
| 1366852931 | Sonia Daryanani | Internal Medicine | 1625 Se 3rd Ave, Suite 601, Fort Lauderdale, FL 33316-2521 | 2014-05-05 |
| 1326392614 | Lauren Gebhard | Dietitian, Registered | 1625 Se 3rd Ave, Suite 415, Fort Lauderdale, FL 33316-2521 | 2012-11-08 |
| 1821349747 | Aiden Orourke Md Pa | Surgery | 1625 Se 3rd Ave, 723, Fort Lauderdale, FL 33316-2521 | 2012-10-02 |
| 1528318599 | Carl C Amko Md Pa | Surgery | 1625 Se 3rd Ave, 723, Fort Lauderdale, FL 33316-2521 | 2012-09-17 |
| 1073884417 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Ave, Suite 721, Fort Lauderdale, FL 33316-2521 | 2012-01-17 |
| 1326325721 | Laurie Inez Siegel | Nurse Practitioner | 1625 Se 3rd Ave, Suite 721, Fort Lauderdale, FL 33316-2521 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885010 | Chelsea Sophia Zaccario | Physician Assistant | 1625 Se 3rd Ave # 300, Fort Lauderdale, FL 33316-2521 | 2019-01-24 |
| 1598272726 | Elizabeth Vukelich Austin | Physician Assistant | 1625 Se 3rd Ave # 723, Fort Lauderdale, FL 33316-2521 | 2018-01-09 |
| 1265805386 | Sandra Lynn Freymuth | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2015-11-11 |
| 1073526513 | Toribio Castillo | Physician Assistant | 6550 North Federal Highway, Ste 512, Fort Lauderdale, FL 33308-1417 | 2006-08-14 |
| 1023017704 | Kathy Ann Zimmer | Physician Assistant | 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308-1404 | 2005-07-15 |
| 1780247189 | Oceanside Elite Surgical Assisting, LLC | Physician Assistant | 3319 Ne 15th Ct, Fort Lauderdale, FL 33304-1709 | 2019-04-21 |
| 1306321781 | Marissa Ziegler | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-10-01 |
| 1205327749 | Priscila Marie Gamiotea | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-05-21 |
| 1518466333 | Andrew Michael Walters | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-02-07 |
| 1235589334 | Dock and Roll LLC | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2016-06-20 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on TODD SMITH.
| 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.