DR. NATHANAEL SMITH (NPI# 1760830285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760830285 |
| Entity Type | Individual |
| Full Name | DR. NATHANAEL SMITH |
| Credential | D.P.M |
| Practice Address |
5220 Clark Ave Ste 125 Lakewood CA 90712-2623 |
| Mailing Address |
206 W Renwick Rd Glendora CA 91740-5564 |
| Practice Telephone | 5628041381 |
| Practice Fax Number | 5629258898 |
| Mailing Telephone | 6262587487 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5486 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689998320 | Nathanael S Smith | Specialist/Technologist | 2420 Comanche Rd Ne, Suite G1, Albuquerque, NM 87107-4753 | 2010-03-24 |
| 1912557422 | Nathanael Smith | Pharmacist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-09-17 |
| 1821583626 | Nathanael James Smith | Emergency Medicine | One Barnes-jewish Hospital Plaza, Mailstop # 90-29-928, St. Louis, MO 63110 | 2018-06-25 |
| 1851825400 | Nathanael Elijah Smith | Registered Nurse | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2017-04-19 |
| Street Address |
5220 CLARK AVE STE 125 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215291562 | David Charles Graham | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972086882 | Tagaloa-tulifau Foot and Ankle Center, Inc. | Podiatrist | 5220 Clark Ave Ste 315, Lakewood, CA 90712-2635 | 2018-09-07 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1215291562 | David Charles Graham | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2012-07-02 |
| 1093948051 | Manooj Prasad Dpm LLC | Podiatrist | 637 River Ave Ste B, Lakewood, NJ 08701-5227 | 2009-08-25 |
| 1144262718 | Center for Advanced Foot & Ankle Care | Podiatrist | 1195 Rt 70, Unit 12, Lakewood, NJ 08701 | 2006-06-11 |
| 1740282607 | Jerome Lamendola | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-08-11 |
| 1871083766 | Flippin Foot and Ankle LLC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2018-05-16 |
| 1407390974 | Balance: Foot and Ankle, LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-12-18 |
| 1356892681 | Balance Medical and Wellness Group LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-10-21 |
| 1043693666 | Stefanie Ann Flippin | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226 | 2015-07-01 |
| Find all providers in LAKEWOOD | ||||
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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.