STEPHEN A. SMITH (NPI# 1679782924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679782924 |
| Entity Type | Individual |
| Full Name | STEPHEN A. SMITH |
| Credential | M.D. |
| Practice Address |
1332 W Herndon Ave Ste. 100 Fresno CA 93711-7118 |
| Mailing Address |
Po Box 25729 Fresno CA 93729-5729 |
| Practice Telephone | 5594321647 |
| Practice Fax Number | 5594327828 |
| Mailing Telephone | 5594321647 |
| Mailing Fax Number | 5594327828 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
00C323421 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
C32342 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AS7663265 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1346807583 | Stephen Lee Smith | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7776, San Antonio, TX 78229-3901 | 2019-05-23 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1275025041 | Stephen C Smith | Student in an Organized Health Care Education/Training Program | 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 | 2018-06-06 |
| 1437653706 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2018-03-21 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1386019867 | Stephen William Smith | Psychologist | 2312 Plantation Dr, Virginia Beach, VA 23454-2739 | 2015-12-09 |
| 1548666068 | Stephen Smith | Massage Therapist | 626 E 4th St, Tonganoxie, KS 66086-9219 | 2014-11-11 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1942600044 | Stephen Smith | Student in an Organized Health Care Education/Training Program | 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 | 2014-08-26 |
| Street Address |
1332 W HERNDON AVE STE. 100 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-7118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679547020 | Claude Michel Schutz | Podiatrist | 1332 W Herndon Ave, Suite 100, Fresno, CA 93711-7118 | 2006-02-14 |
| 1205260817 | Marshall S. Lewis, Md A Professional Corporation | Chiropractor | 1332 W Herndon Ave, Fresno, CA 93711-7118 | 2013-08-30 |
| 1497009682 | Claude M. Schutz, Dpm Inc. | Podiatrist | 1332 W Herndon Ave, Suite 100, Fresno, CA 93711-7118 | 2012-11-09 |
| 1629376157 | Minimally Invasive Spine Specialist Medical Center, Inc. | Orthopaedic Surgery | 1332 W Herndon Ave, Suite 100, Fresno, CA 93711-7118 | 2011-03-08 |
| 1154581403 | Aaron Russ Jensen | Dentist | 1332 W Herndon Ave, Ste. 103, Fresno, CA 93711-7118 | 2008-06-10 |
| 1760518609 | North Point Surgery Center, Inc | Clinic/Center | 1332 W Herndon Ave, Fresno, CA 93711-7118 | 2007-02-26 |
| 1609953959 | Mufti Saadat Ahmed Farooqi M.d. Inc | Internal Medicine | 1332 W Herndon Ave, Suite Number 100, Fresno, CA 93711-7118 | 2006-11-01 |
| 1275610503 | Mufti Saadat Ahmed Farooqi | Internal Medicine | 1332 W Herndon Ave, Suite Number 100, Fresno, CA 93711-7118 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093004988 | Samia Abdul Ghaffar | Orthopaedic Surgery | 45 E River Park Pl W Ste 104, Fresno, CA 93720-1565 | 2011-03-31 |
| 1619018785 | Minimal Invasive Spine Specialist | Orthopaedic Surgery | 6137 N Thesta St, Fresno, CA 93710-8605 | 2007-02-09 |
| 1649253295 | Timothy Watson | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
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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.