MR. DOUGLAS JAMES SMITH (NPI# 1871521724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871521724 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS JAMES SMITH |
| Credential | PA-C |
| Practice Address |
490l Prospect Blvd Frederick MD 21701-6400 |
| Mailing Address |
7309 Westwood Dr Frederick MD 21701-3355 |
| Practice Telephone | 2405663001 |
| Practice Fax Number | 2405663003 |
| Mailing Telephone | 3016989978 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CO1138 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764543 | Douglas Bradford Smith | Counselor | 8200 Nashville Ave Ste 203, Lubbock, TX 79423-1906 | 2017-11-28 |
| 1891110508 | Douglas Smith | Psychologist | 180 Foote St, Middlebury, VT 05753-2018 | 2014-03-04 |
| 1366727190 | Douglas A Smith | Psychologist | 42b Wright St, Palmer, MA 01069-1156 | 2011-10-12 |
| 1124322961 | Douglas Bradford Smith | Dentist | 7879 El Cajon Blvd, La Mesa, CA 91942-0623 | 2011-01-10 |
| 1124321989 | Douglas Edward Smith | Counselor | 5431 E Mayflower Ln, Suite 5, Wasilla, AK 99654-7891 | 2010-12-16 |
| 1134454127 | Douglas Howard Smith | Dentist | 130 S 130 St, Wooster, OH 44691 | 2009-10-08 |
| 1841433844 | Douglas Alexander Smith | Orthopaedic Surgery | 2424 E 21 St, 320, Tulsa, OK 74114-1722 | 2009-04-07 |
| 1336324839 | Douglas Smith | Specialist | 1520 Collier Pl Se, Smyrna, GA 30080-4400 | 2008-01-02 |
| 1538342118 | Douglas A Smith | Family Medicine | 155 Golden View Dr, Long Lake, MN 55356-9779 | 2007-12-06 |
| 1902016611 | Douglas Kent Smith | Physician Assistant | 1354 N Newcomb St, Porterville, CA 93257-9588 | 2007-05-23 |
| Street Address |
490L PROSPECT BLVD |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710928551 | Stephan Charles Boyd Mann | Preventive Medicine | 490l Prospect Blvd, Frederick, MD 21701-6400 | 2006-06-10 |
| 1235172578 | Rose Marene Pearl | Nurse Practitioner | 490l Prospect Blvd, Frederick, MD 21701-6400 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801164066 | Atekelt Yilma Tadese | Physician Assistant | 46-b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2011-12-02 |
| 1619121472 | Barbara S. Rebele | Physician Assistant | 22 S Market St, Suite 6d, Frederick, MD 21701-5570 | 2008-11-06 |
| 1790954253 | Robert Paul Cathor | Physician Assistant | 56 Thomas Johnson Drive, Ste 110, Frederick, MD 21702-4599 | 2008-02-28 |
| 1598946006 | Justina A Bennett | Physician Assistant | 85 Thomas Johnson Ct, Suite C, Internal Medicine Specialists of Frederick, Frederick, MD 21702 | 2007-11-27 |
| 1104809342 | Tara Carson Jernejcic | Physician Assistant | 100 South Market Street, Frederick Community Action Agency, Frederick, MD 21701 | 2005-11-22 |
| 1376001214 | Lewis Edel Bertus | Physician Assistant | 610 Solarex Ct, Frederick, MD 21703-8624 | 2019-03-11 |
| 1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
| 1861867459 | Kelly Murray | Physician Assistant | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2015-12-08 |
| 1295142388 | Rebecca Alyson Leonard | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2014-07-21 |
| 1912332123 | Brittany Leigh Henry | Physician Assistant | 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4427 | 2013-09-06 |
| Find all providers in FREDERICK | ||||
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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.