DOUGLAS R SMITH


Address: 6300 E Independence Blvd, Suite B, Charlotte, NC 28212-6944
Phone: 7045689133

DOUGLAS R SMITH (NPI# 1699985341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699985341
Entity Type Individual
Full Name DOUGLAS R SMITH
Credential M.D.
Practice Address 6300 E Independence Blvd
Suite B
Charlotte
NC 28212-6944
Practice Telephone 7045689133
Mailing Telephone 7045689133
Enumeration Date 2007-05-23
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 546789 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers DOUGLAS SMITH

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1447764543 Douglas Bradford Smith Counselor 8200 Nashville Ave Ste 203, Lubbock, TX 79423-1906 2017-11-28
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1366727190 Douglas A Smith Psychologist 42b Wright St, Palmer, MA 01069-1156 2011-10-12
1124322961 Douglas Bradford Smith Dentist 7879 El Cajon Blvd, La Mesa, CA 91942-0623 2011-01-10
1124321989 Douglas Edward Smith Counselor 5431 E Mayflower Ln, Suite 5, Wasilla, AK 99654-7891 2010-12-16
1134454127 Douglas Howard Smith Dentist 130 S 130 St, Wooster, OH 44691 2009-10-08
1841433844 Douglas Alexander Smith Orthopaedic Surgery 2424 E 21 St, 320, Tulsa, OK 74114-1722 2009-04-07
1336324839 Douglas Smith Specialist 1520 Collier Pl Se, Smyrna, GA 30080-4400 2008-01-02
1538342118 Douglas A Smith Family Medicine 155 Golden View Dr, Long Lake, MN 55356-9779 2007-12-06
1902016611 Douglas Kent Smith Physician Assistant 1354 N Newcomb St, Porterville, CA 93257-9588 2007-05-23

Office Location

Street Address 6300 E INDEPENDENCE BLVD
SUITE B
City CHARLOTTE
State NC
Zip Code 28212-6944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689779514 George S Miffleton Optometrist 6300 E Independence Blvd, Charlotte, NC 28212-6944 2006-09-14
1275989287 Annotata, LLC Pharmacy 6300 E Independence Blvd, Suite B, Charlotte, NC 28212-6944 2016-05-09
1326323445 Sherelle Mccoy Morrison Optometrist 6300 E Independence Blvd, Charlotte, NC 28212 2011-10-20
1912008384 George Whaley Tate Ophthalmology 6300 E Independence Blvd, Charlotte, NC 28212-6944 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371250 Amy Sierra Conner Counselor 5700 Executive Drive Suite 110, Charlotte, NC 28212 2019-11-25
1700447307 Nagarani Nagarajan Dds.,pllc Clinic/Center 2510 Vista Drive, Suite 100, Charlotte, NC 28212 2019-06-25
1700441011 Khadija Brown Counselor 6601 English Hills Dr, Charlotte, NC 28212 2019-05-02
1245711514 Savannah Huneycutt Dentist 6708 Albemarle Road, Charlotte, NC 28212 2018-08-24
1417435710 Porcelain Dolls of The Carolinas, Inc Clinic/Center 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 2018-07-30
1447701511 Christine Walker Physical Therapy, LLC Clinic/Center 8850 Monroe Rd, Charlotte, NC 28212 2016-10-24
1013376128 Colby Edward Joyner Physician Assistant 7005 Wallace Rd Ste 600, Charlotte, NC 28212 2016-02-17
1760814412 Nguyen Tri Nguyen, Dds, Pa Dentist 6404 Albemarle Road, #c, Charlotte, NC 28212 2013-08-05
1477806834 Tara Thompson Counselor 6900 Democracy Dr., Charlotte, NC 28212 2012-10-23
1568711109 Mary Dianne Branch Counselor 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 2012-08-29
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351607 Michael James Blackwell Physician Assistant 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 2020-09-22
1598371320 Jonathan Byron Lively Physician Assistant 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 2020-09-17
1902415532 Jacqueline Ellen Leyrer Physician Assistant 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 2020-07-29
1750908380 Whitney Debroy Physician Assistant 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 2020-06-30
1972129302 Ashley Nicole Short Physician Assistant 1022 E Worthington Ave, Charlotte, NC 28203-5760 2020-06-22
1558985176 Courtney Claugus Physician Assistant 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 2020-05-29
1467071738 Patrick James Quinn Physician Assistant 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 2020-04-15
1225660301 Sunil Ranchhod Ghodasara Physician Assistant 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 2020-02-06
1225668601 Emily Rebecca Markey Physician Assistant 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 2020-01-24
1639719586 Abosede Elizabeth Adamson Physician Assistant 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 2020-01-08
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Competitor

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City CHARLOTTE
Zip Code 28212

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Dataset Information

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.

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