FREDRICA E SMITH


Address: 3917 West Road, Suite D, Los Alamos, NM 87544
Phone: 5056629400

FREDRICA E SMITH (NPI# 1780663369) 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) 1780663369
Entity Type Individual
Full Name FREDRICA E SMITH
Credential MD
Practice Address 3917 West Road
Suite D
Los Alamos
NM 87544
Practice Telephone 5056629400
Practice Fax Number 5056623148
Mailing Telephone 5056629400
Mailing Fax Number 5056623148
Enumeration Date 2006-01-12
Last Update Date 2010-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
NM7369 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 26005 05

Office Location

Street Address 3917 WEST ROAD
SUITE D
City LOS ALAMOS
State NM
Zip Code 87544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659798775 Adriana Gonzales Nurse Practitioner 3917 West Road, Ste. A, Los Alamos, NM 87544 2014-03-26
1992003412 Marvel E. Harrison Counselor 3917 West Road, Suite M250, Los Alamos, NM 87544 2011-03-08
1134450885 Sangre De Cristo Heart Center Internal Medicine 3917 West Road, Suite 101, Los Alamos, NM 87544 2010-01-20
1194817155 Miguel T Dozier Internal Medicine 3917 West Road, Ste 128, Los Alamos, NM 87544 2006-09-28
1245248830 Los Alamos Pediatric Clinic Pediatrics 3917 West Road, Suite 136, Los Alamos, NM 87544 2006-08-03
1376505958 Lori Anne Fay Family Medicine 3917 West Road, Suite 150 Lamcc, Los Alamos, NM 87544 2006-04-06
1104888783 John Matthew Fay Family Medicine 3917 West Road, Suite A Mannm, Los Alamos, NM 87544 2006-04-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679945935 Zia Home Health Home Health 1475 Central Ave., Suite 125, Los Alamos, NM 87544 2015-10-27
1295131167 Sara Pocernik Dietitian, Registered 1450 Iris Street, Los Alamos, NM 87544 2014-11-05
1760824890 Lisa Renee Marr Lyon Psychologist 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 2013-07-17
1558629725 Rachel Meyer Dentist 112 Central Park Square, Los Alamos, NM 87544 2012-04-25
1902183908 Susana T. Chavarria Occupational Therapist 5 Quemazon Pl., Los Alamos, NM 87544 2011-11-04
1881998664 Dr. Tom Child and Adolescent Medicine Pediatrics Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 2011-01-07
1952565905 Dawn Judy Barr Social Worker 3 Agila Ct, Los Alamos, NM 87544 2008-07-17
1649452129 Ellen Vandergust Ballard Dentist 111 Longview, Suite B-3, White Rock, NM 87544 2007-11-27
1629290283 Wildwind Dental Dentist 111 Longview Drive, Suite B3, Los Alamos, NM 87544 2007-05-03
1255407342 Sarah Sue Teasdale Counselor 1362 C Trinity Dr, Los Alamos, NM 87544 2006-11-28
Find all providers in zip 87544

Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548537632 Rheumatology Specialists of New Mexico LLC Internal Medicine 3917 West Rd Ste D, Los Alamos, NM 87544-2292 2011-11-17
1619150323 Fredrica E. Smith, M.d. Internal Medicine 3917 West Rd, Suite D, Los Alamos, NM 87544-2275 2007-12-17
1710085444 Monica J Snowden Internal Medicine 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386130227 American Arthritis & Rheumatology Associates Nm LLC Internal Medicine 1600 W 21st St Ste B, Clovis, NM 88101-4084 2018-07-03
1275717563 Suzanne Curtis Gray Md Internal Medicine 228 N Schwartz Ave, Farmington, NM 87401-5547 2007-12-21
1669668497 Monthida Fangtham Internal Medicine Doim Rheumatology, 1 University of New Mexico Msc 10-5550, Albuquerque, NM 87131-0001 2007-09-14
1730204520 Juliet Coquia Internal Medicine 8100 Constitution Pl Ne Ste 210, Pmg Kaseman Arthritis Clinic, Albuquerque, NM 87110-7625 2007-03-20
1760576136 Erik E Carlson Internal Medicine Pmg Rheumatology, 8300 Constitution Ave Ne, Albuquerque, NM 87110 2006-10-03
1356435747 Peter Rosandich Internal Medicine 8200 Louisiana Blvd Ne, New Mexico Rheumatology LLC, Albuquerque, NM 87113-2105 2006-10-03
1457451593 Armando Carlos Angel Internal Medicine 1820 Paisano Road, Las Cruces, NM 88005-3931 2006-09-25
1043310071 Thomas D Ramage Md Pa Internal Medicine 313 W Country Club Rd Ste 3, Roswell, NM 88201-5804 2006-09-22
1952339681 Roderick Fields Internal Medicine 2211 Lomas, Ne, 5th Floor-5acc, Albuquerque, NM 87106-0001 2006-06-29
1629079710 Art Ray Snyder Internal Medicine 1255 Hillrise Cir, Las Cruces, NM 88011-4741 2005-08-10
Find all providers with the same taxonomy

Competitor

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City LOS ALAMOS
Zip Code 87544

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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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