DR. STACY R. SMITH (NPI# 1780651760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780651760 |
Entity Type | Individual |
Full Name | DR. STACY R. SMITH |
Credential | M.D. |
Practice Address |
561 Saxony Pl Suite 102 Encinitas CA 92024-7700 |
Practice Telephone | 7602033839 |
Practice Fax Number | 7602033840 |
Mailing Telephone | 7602033839 |
Mailing Fax Number | 7602033840 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2013-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | G65407 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICAL LICENSE | G65407 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306472428 | Stacy Renee Smith | Specialist/Technologist | 1708 Surrey Ct, Garland, TX 75043-1355 | 2020-03-20 |
1508338856 | Stacy Smith | Pediatrics | 5345 Fm 3 S, Marquez, TX 77865-4303 | 2018-12-27 |
1245612779 | Stacy G. Smith | Counselor | 24 Godwin Ave Ste 210, Midland Park, NJ 07432-1927 | 2015-06-21 |
1730583501 | Stacy Lynn Smith | Pharmacist | 1017 W Haul Rd, Page, AZ 86040-0656 | 2014-10-22 |
1881953214 | Stacy J Smith | Occupational Therapist | 10240 E Vicksburg St, Tucson, AZ 85748-3462 | 2012-05-04 |
1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
1306138235 | Stacy Victoria Smith | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2011-05-11 |
1871898858 | Stacy Smith | Counselor | 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 | 2011-01-21 |
1740476514 | Stacy Ann Smith | Counselor | 4525 Draper Rd, Raleigh, NC 27616-5674 | 2007-09-14 |
1255532495 | Stacy M. Smith | Dietitian, Registered | 261 Parkway Dr Ne, Atlanta, GA 30312-1210 | 2007-05-29 |
Street Address |
561 SAXONY PL SUITE 102 |
City | ENCINITAS |
State | CA |
Zip Code | 92024-7700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699198788 | California Dermatology & Clinical Research Institute | Clinic/Center | 561 Saxony Pl, Suite 102, Encinitas, CA 92024-7700 | 2014-01-27 |
1083737613 | Andrea Cole Raub | Family Medicine | 561 Saxony Pl, Suite 101, Encinitas, CA 92024 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
Find all providers in zip 92024 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083273684 | Coastal Skin and Eye Institute, Inc. | Dermatology | 477 N El Camino Real Ste C300, Encinitas, CA 92024-1356 | 2019-06-07 |
1831515386 | Bryan Doonan, Md, Inc | Dermatology | 208 N El Camino Real, Suite B, Encinitas, CA 92024-2846 | 2014-03-07 |
1184968398 | Heather Pacheco | Dermatology | 285 N El Camino Real # 100-19, Encinitas, CA 92024-5383 | 2012-11-12 |
1396923413 | Comprehensive Dermatology Group | Dermatology | 477 N El Camino Real Ste C204, Encinitas, CA 92024-1332 | 2008-01-31 |
1083804553 | Heidi Marie Gilchrist | Dermatology | 345 Saxony Rd Ste 201, Encinitas, CA 92024-2787 | 2007-07-30 |
1073630562 | Harrison R Mcdonald Md Inc | Dermatology | 320 Santa Fe Dr Ste 207, Encinitas, CA 92024-5140 | 2007-03-22 |
1396774220 | Vishakha Gigler | Dermatology | 781 Garden View Ct, Suite 201, Encinitas, CA 92024-2481 | 2006-07-02 |
1295713360 | Margaret Toshie Dupree | Dermatology | 477 N El Camino Real Ste C312, Encinitas, CA 92024-1328 | 2006-01-09 |
1376092023 | Amanda Abramson Lloyd Md Inc | Dermatology | 477 N El Camino Real Ste D304, Encinitas, CA 92024-1374 | 2016-09-22 |
1700264157 | North County Dermatology Center Gp | Dermatology | 477 N El Camino Real, Suite# C312, Encinitas, CA 92024-1328 | 2015-05-18 |
Find all providers in ENCINITAS |
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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.