DR. ROBERT S. SMITH (NPI# 1811981749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811981749 |
| Entity Type | Individual |
| Full Name | DR. ROBERT S. SMITH |
| Credential | DPM |
| Practice Address |
3715 Main St Suite 306 Bridgeport CT 06606-3618 |
| Practice Telephone | 2033731775 |
| Mailing Telephone | 2033731775 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POO351 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4078037 | 05 | |
| CT | RAILROAD MEDICARE ID# | 4800009600 | 01 |
| CT | BLUE CROSS PROVIDER # | 030000351CT03 | 01 |
| CT | HEALTHNET | 003935 | 01 |
| CT | AETNA ID# | 0004271631 | 01 |
| CT | PRIVATE INSURANCE /TAX ID | 061364754 | 01 |
| CT | CIGNA ID# | 6320755 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
| 1104430552 | Robert Nathan Smith | Student in an Organized Health Care Education/Training Program | 50 Don Martin Rd, Perkinston, MS 39573-5919 | 2020-09-03 |
| 1467087767 | Robert Smith Iv | Non-emergency Medical Transport (VAN) | 1710 Santa Maria Pl, Orlando, FL 32806-1446 | 2020-03-06 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1841758653 | Robert B Smith Jr. | Counselor | 2830 228th Ave Se Ste C, Sammamish, WA 98075-9300 | 2019-03-11 |
| 1497234660 | Robert Lewis Smith | Nuclear Medicine | 11398 Morton Rd, Keithville, LA 71047-6529 | 2018-08-08 |
| 1760978282 | Robert R Smith | Psychologist | 159 Tall Oaks Dr Unit H, Weymouth, MA 02190-3552 | 2018-07-09 |
| 1992298392 | Robert Brandon Smith | Physical Therapist | 1320 Oakfield Dr, Brandon, FL 33511-4860 | 2018-06-11 |
| 1447740808 | Robert G. Smith | Music Therapist | 2175 Hopkins Ln, Easton, PA 18040-8047 | 2018-05-11 |
| 1477050516 | Robert Stanley Smith | Behavioral Analyst | 20 Deerfield Ln, Eastham, MA 02642-2250 | 2018-04-06 |
| Street Address |
3715 MAIN ST SUITE 306 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435309 | Anthony G Ciccaglione | Internal Medicine | 3715 Main St, Ste 408, Bridgeport, CT 06606-3611 | 2005-05-23 |
| 1821567744 | Muriel Maxwell Lcsw LLC | Counselor | 3715 Main St, Bridgeport, CT 06606-3618 | 2018-11-20 |
| 1881048080 | Bridgeport Braces, LLC | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2016-04-14 |
| 1750707808 | Oluwatosin Marriott | Counselor | 3715 Main St, Suite 406, Bridgeport, CT 06606-3618 | 2014-03-13 |
| 1760724678 | Robert D Markowitz | Dentist | 3715 Main St, Suite #303, Bridgeport, CT 06606-3618 | 2013-03-19 |
| 1033484043 | Merritt Dental LLC | Dentist | 3715 Main St, 409, Bridgeport, CT 06606-3618 | 2012-03-09 |
| 1174844922 | Houa Vang | Chiropractor | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2010-06-16 |
| 1881910503 | Marianne Jensen | Behavioral Analyst | 3715 Main St, Suite 101, Bridgeport, CT 06606-3618 | 2010-04-20 |
| 1821223272 | Tremane M Bartley | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2009-05-28 |
| 1598941379 | Robert S. Smith | Durable Medical Equipment & Medical Supplies | 3715 Main St, #306, Bridgeport, CT 06606-3618 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730367558 | Eric A. Levine, Dpm | Podiatrist | 325 Jewett Ave, Bridgeport, CT 06606-2827 | 2008-02-04 |
| 1750507141 | Howard Wayne Harinstein | Podiatrist | 4695 Main Street, Bridgeport, CT 06606-1802 | 2007-04-17 |
| 1396856548 | Mark Alan Schickler | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2006-08-31 |
| 1053326488 | Tina Marie Chieco-schwartz | Podiatrist | 2320 Main St, Bridgeport, CT 06606-5373 | 2006-07-31 |
| 1265828818 | Theresa Integral Dy Djama | Podiatrist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2015-04-10 |
| 1427304146 | Bevan Kurthy Hollingsworth | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2012-07-31 |
| 1649566092 | Kristen Mcginness | Podiatrist | 267 Grant St, Bridgeport, CT 06610-2805 | 2011-06-23 |
| 1750680153 | Naomie Legagneur | Podiatrist | 46 Albion St, Bridgeport, CT 06605-2602 | 2011-03-24 |
| 1457526980 | R Daniel Davis & Mark Schickler Family Podiatry Center | Podiatrist | 2409 Main St, Bridgeport, CT 06606-5324 | 2008-04-25 |
| 1043498009 | Howard W Harinstein | Podiatrist | 4695 Main St, Suite 15, Bridgeport, CT 06606-1802 | 2008-02-01 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on DR. ROBERT S. SMITH.
| 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.