DR. LEROY CARTER SMITH (NPI# 1700830601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700830601 |
Entity Type | Individual |
Full Name | DR. LEROY CARTER SMITH |
Credential | M.D. |
Practice Address |
2755 Silver Creek Rd Suite 111 Bullhead City AZ 86442-7904 |
Practice Telephone | 9287047163 |
Practice Fax Number | 9287047140 |
Mailing Telephone | 9287047163 |
Mailing Fax Number | 9287047140 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2012-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
26371 | NC | Allopathic & Osteopathic Physicians |
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
26371 | NC | Allopathic & Osteopathic Physicians |
Y | 208600000X | Surgery | 41584 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8977958 | 05 | |
AZ | 412862 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457453532 | Leroy Andrew Smith | Orthopaedic Surgery | 1625 Se 3 Ave, Suite 700, Ft Lauderdale, FL 33316-2521 | 2006-09-01 |
1366849119 | Leroy Willie Smith | Social Worker | 14 S Broadway, Baltimore, MD 21231-1712 | 2014-11-21 |
1477857936 | Leroy Joseph Smith | Nurse Anesthetist, Certified Registered | 8000 Al Highway 69, Guntersville, AL 35976-7140 | 2010-12-27 |
1205095239 | Leroy Smith | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-05 |
1457334682 | Leroy Smith Jr. | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2005-11-22 |
Street Address |
2755 SILVER CREEK RD SUITE 111 |
City | BULLHEAD CITY |
State | AZ |
Zip Code | 86442-7904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578526562 | Nadim B Khatib | Family Medicine | 2755 Silver Creek Rd, Suite 109, Bullhead City, AZ 86442-7904 | 2006-04-10 |
1588112049 | Dylan Samual Caliva | Physical Therapist | 2755 Silver Creek Rd, Bullhead City, AZ 86442-7904 | 2016-09-13 |
1518264829 | Tri-state Radiation Oncology, Inc. | Clinic/Center | 2755 Silver Creek Rd, Suite 115, Bullhead City, AZ 86442-7904 | 2011-02-22 |
1114104981 | Charles Eugene Bruso | Radiology | 2755 Silver Creek Rd, Suite 115, Bullhead City, AZ 86442-7904 | 2008-01-23 |
1528251667 | Khatib Family Practice Plc | Family Medicine | 2755 Silver Creek Rd, Suite 109, Bullhead City, AZ 86442-7904 | 2007-08-22 |
1356542112 | Malik Tariq Rahim | Internal Medicine | 2755 Silver Creek Rd, Suite 217, Bullhead City, AZ 86442-7904 | 2007-05-30 |
1144383423 | Arizona Pathology Group Inc. | Clinical Medical Laboratory | 2755 Silver Creek Rd, Suite 203, Bullhead City, AZ 86442-7904 | 2006-12-18 |
1184651580 | Jonathan M Brown | Otolaryngology | 2755 Silver Creek Rd, Bullhead City, AZ 86442 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
Find all providers in zip 86442 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275947103 | Phuong Duong Thoai Nguyen | Surgery | 2755 Silver Creek Rd Ste 111&113, Bullhead City, AZ 86442-7904 | 2014-06-18 |
1497797948 | Michael R. Trimble M.d., F.a.c.s | Surgery | 1514 Goldrush Rd, Ste. A-18, Bullhead City, AZ 86442-8375 | 2006-06-11 |
1861476145 | Elliot Charles Maness | Surgery | 2755 Silver Creek Rd Ste 111, Bullhead City, AZ 86442-8343 | 2005-12-01 |
1700870219 | Anthony Schwartz | Surgery | 1225 Hancock Rd, Suite 204, Bullhead City, AZ 86442-5948 | 2005-09-12 |
1932106853 | Richard Augustine Cardone | Surgery | 5300 Hwy 95, Ste. C, Bullhead City, AZ 86426-9251 | 2005-07-07 |
1558428581 | Michael Robert Trimble | Surgery | 1514 Goldrush Rd, Bullhead City, AZ 86442-8375 | 2007-01-02 |
1780656017 | Michael Merchent, D.o., Ltd | Surgery | 2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 | 2006-02-02 |
1659343986 | Michael Merchent | Surgery | 2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 | 2006-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365702 | Ducharme General Surgery, Pllc | Surgery | 1200 N El Dorado Pl Ste E-520, Tucson, AZ 85715-4637 | 2020-10-27 |
1407465081 | Arizona Advanced Surgical and Pain | Surgery | 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 | 2020-07-29 |
1588285910 | Casey Leonard Charlton | Surgery | 1300 E Fort Lowell Rd, Tucson, AZ 85719-2222 | 2020-04-27 |
1235760406 | Star Surgery Center, LLC | Surgery | 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 | 2020-01-28 |
1841842747 | Scottsdale Outpatient Surgery | Surgery | 8994 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-7901 | 2019-07-10 |
1730744228 | Zona Surgery Center, LLC | Surgery | 8994 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-7901 | 2019-05-09 |
1033684741 | Michael Joseph Pllc | Surgery | 29455 N Cave Creek Rd Ste 118-451, Cave Creek, AZ 85331-3245 | 2018-10-09 |
1215411970 | Center for Vein Restoration Az LLC | Surgery | 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 | 2018-09-19 |
1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
1831686112 | Facasurgery LLC | Surgery | 1831 E Queen Creek Rd # 120, Chandler, AZ 85286-2019 | 2018-04-22 |
Find all providers with the same taxonomy |
City | BULLHEAD CITY |
Zip Code | 86442 |
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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.