DR. CLARK SAMUEL SMITH (NPI# 1679836035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679836035 |
| Entity Type | Individual |
| Full Name | DR. CLARK SAMUEL SMITH |
| Credential | M.D. |
| Practice Address |
660 Bannock St Denver CO 80204-4506 |
| Practice Telephone | 3036022574 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DR.0057191 | CO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 2012017704 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942179 | Clark Yutaka Smith I | Dentist | 777 Avenue of The Americas Apt 32j, New York, NY 10001-6331 | 2018-02-19 |
| 1164589727 | Clark K Smith | Dentist | 25850 Joy Rd, Redford, MI 48239-1801 | 2007-01-03 |
| 1891007902 | Clark Elon Smith | Dentist | 7117 Green Bay Rd, Kenosha, WI 53142-1450 | 2010-07-06 |
| 1518194711 | Clark Lander Smith | Family Medicine | 4301 W Markham St, #508, Little Rock, AR 72205-7101 | 2009-06-15 |
| 1548425903 | Clark Jeffery Smith Jr. | Chiropractor | 200 Creekstone Rdg, Woodstock, GA 30188-3732 | 2008-07-25 |
| 1043494800 | Clark Charles Smith | Physical Medicine & Rehabilitation | 180 Fort Washington Ave, Suite 199, New York, NY 10032-3722 | 2007-12-28 |
| 1518049212 | Clark E Smith | Psychiatry & Neurology | 9820 Willow Creek Rd, Ste 370, San Diego, CA 92131-1112 | 2006-10-20 |
| 1801869946 | Clark M Smith II | Pediatrics | 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | 2006-02-09 |
| Street Address |
660 BANNOCK ST |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490878 | Michael J Breyer | Emergency Medicine | 660 Bannock St, Denver, CO 80204-4506 | 2006-01-03 |
| 1477010577 | Brian Richard | Nurse Anesthetist, Certified Registered | 660 Bannock St, Denver, CO 80204-4506 | 2019-02-25 |
| 1295144251 | Grahame Quan | Emergency Medicine | 660 Bannock St, Denver Health Emergency Medicine Residency Program, Denver, CO 80204-4506 | 2014-08-04 |
| 1043655111 | Jeffrey Paul Hollis | Internal Medicine | 660 Bannock St, Room 266, Denver, CO 80204-4506 | 2013-05-02 |
| 1578907424 | Hassan Rao | Internal Medicine | 660 Bannock St, Denver, CO 80204-4506 | 2013-04-23 |
| 1912249301 | Denver Health | General Acute Care Hospital | 660 Bannock St, Denver, CO 80204-4506 | 2013-03-23 |
| 1407101629 | Justin Sulki Ahn | Emergency Medicine | 660 Bannock St, Room 395, Denver, CO 80204-4506 | 2012-07-14 |
| 1598029902 | Andrew William Hanosh | Pathology | 660 Bannock St, Denver, CO 80204-4506 | 2012-06-29 |
| 1942599345 | Anna Maria Munoa | Internal Medicine | 660 Bannock St, Denver, CO 80204 | 2011-04-06 |
| 1144529314 | David Gordon Bosch | Emergency Medicine | 660 Bannock St, Denver, CO 80204-4506 | 2011-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522972 | Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | 7000 E Hampden Ave, Denver, CO 80224 | 2020-03-10 |
| 1164871893 | Colin Robert Bell | Emergency Medicine | 2033 Albion St, Denver, CO 80207-3705 | 2016-06-03 |
| 1336535970 | John Rague I | Emergency Medicine | 777 Bannock Street, Mc 0108, Denver Health Medical Center, Denver, CO 80204-4507 | 2015-04-10 |
| 1700271921 | Nigel Steven George | Emergency Medicine | 777 Bannock Street, Miling Code 0108, Denver Health Medical Center, Denver, CO 80204 | 2015-04-03 |
| 1386037067 | Smitha Sarma Bhaumik | Emergency Medicine | 777 Bannock St Mc 0108, Denver, CO 80204-4507 | 2015-03-05 |
| 1134533177 | Alexandra G Duckworth | Emergency Medicine | 1201 Galapago St Unit 94, Denver, CO 80204-3564 | 2014-06-18 |
| 1700220357 | Frank Skobel | Emergency Medicine | 204 S Downing St, Denver, CO 80209-2433 | 2013-04-25 |
| 1699018408 | Heidi Seaborn Moyse | Emergency Medicine | Health & Counseling Center University Of, 2240 E Buchtel Blvd, Denver, CO 80208-0001 | 2013-03-29 |
| 1689927188 | Bruce Madison | Emergency Medicine | 100 S Birch St, Denver, CO 80246-1017 | 2012-10-21 |
| 1376800318 | Blair Woodbury | Emergency Medicine | 700 Colorado Blvd Ste 109, Denver, CO 80206-4084 | 2012-04-16 |
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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.