DR. RYAN KENNETH SMITH


Address: 1450 Chapel Street, Src Adult Primary Care Clinic, New Haven, CT 06511
Phone: (203) 789-4044

DR. RYAN KENNETH SMITH (NPI# 1902336977) 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) 1902336977
Entity Type Individual
Full Name DR. RYAN KENNETH SMITH
Credential MD
Practice Address 1450 Chapel Street
Src Adult Primary Care Clinic
New Haven
CT 06511
Practice Telephone (203) 789-4044
Mailing Telephone 2037894044
Enumeration Date 2017-06-13
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
15 York St, New Haven, CT 065103221 2036885303

Other Providers RYAN SMITH

NPI Name Taxonomy Address Enumeration
1831754795 Ryan David Smith Dentist Bldg 4681 Logistics Ave, Fort Bragg, NC 28310-0001 2019-05-07
1225599533 Ryan Philip Smith Student in an Organized Health Care Education/Training Program 501 E 91st St, Kansas City, MO 64131-2931 2019-03-28
1104317262 Ryan Alexander Smith Surgery 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 2018-05-24
1265955942 Ryan Michael Smith Counselor 1003 S Beacon St, San Pedro, CA 90731-4324 2017-07-25
1164950481 Ryan Kenneth Smith Family Medicine 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 2017-05-31
1063948545 Ryan C Smith Marriage & Family Therapist 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 2017-05-03
1346787942 Ryan Smith Behavioral Analyst 3251 Nebraska St, Longview, WA 98632-4228 2017-01-21
1235587346 Ryan Michael Smith Physical Therapist 98 Brickel St, Columbus, OH 43215-1506 2016-05-31
1528439734 Ryan Smith Physical Therapist 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 2015-10-14
1669849618 Ryan G Smith Social Worker 617 S 700 W, Hurricane, UT 84737-2429 2015-08-25

Office Location

Street Address 1450 CHAPEL STREET
SRC ADULT PRIMARY CARE CLINIC
City NEW HAVEN
State CT
Zip Code 06511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508864026 Lydia Segui Physician Assistant 1450 Chapel Street, New Haven, CT 06511 2005-07-08
1558929307 Lauren Nicole Bendel Pharmacist 1450 Chapel Street, Department of Pharmacy Services, New Haven, CT 06511-4405 2019-06-05
1629574819 Janette Lopez Social Worker 1450 Chapel Street, Childrens Hospital Iop/pop, New Haven, CT 06514 2018-04-05
1063939809 Deborah Rose Cooke Physician Assistant 1450 Chapel Street, New Haven, CT 06511-3786 2017-08-23
1821528894 Ria Roberts Student in an Organized Health Care Education/Training Program 1450 Chapel Street, Ynhh Primary Care, New Haven, CT 06511 2017-06-13
1245642230 Yung Ah Lee Internal Medicine 1450 Chapel Street, Geriatric Services, New Haven, CT 06511 2014-05-23
1447531579 Graham Mark Grabowski Student in an Organized Health Care Education/Training Program 1450 Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-4405 2011-09-02
1902184005 Aarti Gupta Psychiatry & Neurology 1450 Chapel Street, Celentano 1, New Haven, CT 06511 2011-07-25
1881863520 Maria Grazia Szafranski Nurse Anesthetist, Certified Registered 1450 Chapel Street, New Haven, CT 06511 2008-02-27
1578676292 Stephanie R. Vaz Obstetrics & Gynecology 1450 Chapel Street, Saint Raphael Faculty Physicians, New Haven, CT 06511 2006-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330571 Allison Elizabeth Pratt Occupational Therapist 625 Whitney Ave, Apt 5, New Haeven, CT 06511 2020-09-11
1881213346 Sarah Bleicher Registered Nurse Yale Health, 55 Lock St, New Haven, CT 06511 2020-04-14
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1528533866 Alexia Levin Social Worker 98/100 York St, New Haven, CT 06511 2018-10-12
1861970097 Orthocare Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1450 Chapel St Ste Sg15, New Haven, CT 06511 2018-07-31
1609352418 Susannah Frew Social Worker 2 Eld Street, Apt 6, New Haven, CT 06511 2018-07-15
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1487173951 Karine Giasson-gariepy Student in an Organized Health Care Education/Training Program Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 2017-09-15
1568980696 Anna Reutenauer Dentist 123 York St Ste 4l, New Haven, CT 06511 2017-09-08
1083134753 Darin Dolezal Student in an Organized Health Care Education/Training Program 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 2017-06-23
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861019689 Mallori Wisuri Student in an Organized Health Care Education/Training Program 14505 Old 24 E, New Haven, IN 46774-9013 2020-06-27
1952920019 Nazli Dizman Student in an Organized Health Care Education/Training Program 20 York St Tompkins 226, New Haven, CT 06510-3220 2020-04-09
1972132314 Ross David Logan Student in an Organized Health Care Education/Training Program 20 York St Ste 226, New Haven, CT 06510-3220 2020-04-07
1194354043 Christian Keene Student in an Organized Health Care Education/Training Program 625 Orange St Apt 43, New Haven, CT 06511-3840 2020-04-03
1639706146 Kevin Jiang Student in an Organized Health Care Education/Training Program 330 Orchard St Ste 207, New Haven, CT 06511-4429 2020-03-25
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1275166407 Joshua Braden Student in an Organized Health Care Education/Training Program 32277 Salt River Cir N, New Haven, MI 48048-3331 2020-02-17
1871125401 Taylor Alexandra Babin Student in an Organized Health Care Education/Training Program 166 Hall St, New Haven, CT 06512-3148 2020-02-11
1952962649 Su Jung Kim Student in an Organized Health Care Education/Training Program 111 Park St Apt 12t, New Haven, CT 06511-5421 2019-06-24
1144880691 Durga Thakral Student in an Organized Health Care Education/Training Program 367 Cedar St Ste 317, New Haven, CT 06510-3222 2019-06-17
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06511

Improve Information

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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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