DR. CLYDE J. SMITH III (NPI# 1881822302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881822302 |
| Entity Type | Individual |
| Full Name | DR. CLYDE J. SMITH III |
| Credential | M.D. |
| Practice Address |
1215 Lee St Charlottesville VA 22908-0816 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349241761 |
| Practice Fax Number | 4349823561 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 0101253870 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101253870 | VA | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101253870 | VA | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
0101253870 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342830 | Clyde R Smith | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2019-05-23 |
| 1003399668 | Clyde Smith | Behavior Technician | 1730 W Walnut Ave Ste A, Visalia, CA 93277-6233 | 2018-09-10 |
| 1235222449 | Clyde L Smith | Internal Medicine | 640 Centre St, Jamaica Plain, MA 02130 | 2006-10-02 |
| 1104917202 | Clyde D. Smith | Surgery | 305 Mallard Ln, Taylor, TX 76574-1208 | 2006-09-27 |
| 1164530416 | Clyde Wendell Smith | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-28 |
| 1053365809 | Clyde E Smith | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-19 |
| 1891777280 | Clyde W Smith | Radiology | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2005-11-19 |
| 1881676526 | Clyde Rufus Smith IIi | Family Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2005-11-17 |
| Street Address |
1215 LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486328 | Kirk W Tanner | Nurse Anesthetist, Certified Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2005-06-10 |
| 1801493283 | Angela Jewell Strickler | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-08 |
| 1629675475 | Kimberlee M Mauck | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-05 |
| 1407463953 | Amy Johnston | Clinical Nurse Specialist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-29 |
| 1194332882 | Mihwa Ahn | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-26 |
| 1346856721 | Farren Hume Dodson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-21 |
| 1003422619 | Darlene Acero | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-18 |
| 1689289571 | Erin Harr | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-09 |
| 1518572460 | Juan Pablo Sardi Restrepo | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800212, Charlottesville, VA 22908-0816 | 2020-09-08 |
| 1366055956 | Erin Louise Tennyson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801844980 | Anthony J. Camerota | Pediatrics | 5 Hospital Dr, Charlottesville, VA 22908-9007 | 2006-05-04 |
| 1740279603 | Andrew P. Metinko | Pediatrics | Lee St Fl 7, Charlottesville, VA 22908-0001 | 2005-10-13 |
| 1467642298 | Michelle A. Adu-darko | Pediatrics | 1215 Lee St, Charlottesville, VA 22908-4319 | 2007-07-27 |
| 1861405920 | Laura Lee | Pediatrics | 1215 Lee St, Charlottesville, VA 22908-0001 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417394370 | Kara D Greenfield | Pediatrics | 1008 E Clay St, Richmond, VA 23298-5056 | 2013-05-31 |
| 1023019056 | Abhik Kumar Biswas | Pediatrics | Naval Medical Center Portsmouth, Picu, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2005-08-01 |
| 1346244308 | James L Laham | Pediatrics | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2005-06-08 |
| 1174049282 | Oliver Laurent Karam | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-08-21 |
| 1255750311 | Sunana Singh | Pediatrics | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2014-04-15 |
| 1467711614 | Vu Trieu Nguyen | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-05-09 |
| 1265708861 | Michelle Lynn Olson | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-03-28 |
| 1578741500 | Charlene Banks | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-01-31 |
| 1821272576 | Alia M Iqbal O'meara | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2007-12-18 |
| 1477610830 | Cynthia Lee Ann Gibson | Pediatrics | 3300 Gallows Rd, Department of Pediatrics, Falls Church, VA 22042-3307 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.