LLOYD D SMITH JR. (NPI# 1912096413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912096413 |
| Entity Type | Individual |
| Full Name | LLOYD D SMITH JR. |
| Credential | M.D |
| Practice Address |
961 N Emerald #d Modesto CA 95351-1556 |
| Mailing Address |
P O Box 576188 Modesto CA 95357-6188 |
| Practice Telephone | 2095754575 |
| Mailing Telephone | 2095754575 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
G9623 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000G96230 | 05 | |
| CA | MEDICARE ID | 221169605 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255343265 | Lloyd M. Smith | Dentist | 1111 Suffolk Dr, Janesville, WI 53546-1608 | 2006-08-12 |
| 1639192750 | Lloyd Douglas Smith | Ophthalmology | 10 Vision Ln, Natchez, MS 39120-4607 | 2006-07-26 |
| 1871598409 | Lloyd Steven Smith | Podiatrist | 10 Langley Rd, Ste 201, Newton, MA 02459-1972 | 2005-06-20 |
| 1790059558 | Lloyd D Smith | Pharmacist | 2530 Rudkin Rd, Union Gap, WA 98903-1632 | 2012-02-25 |
| 1548569726 | Lloyd Nathan Smith | Family Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2011-03-27 |
| 1922281807 | Lloyd N Smith | Dentist | 2302 Brown Road, Imperial, CA 92251 | 2007-12-13 |
| 1285616557 | Lloyd H. Smith | Obstetrics & Gynecology | 4860 Y St, Ob/gyn, Suite 2500, Sacramento, CA 95817-2307 | 2005-11-14 |
| 1427054626 | Lloyd Hamlin Smith | Emergency Medicine | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2005-06-22 |
| Street Address |
961 N EMERALD #D |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366736977 | Ashley J Tarasen | Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2011-06-01 |
| 1093903890 | Lloyd D. Smith Jr., M.d., Inc. | Pathology | 1729 Tully Rd, #7, Modesto, CA 95350-4082 | 2007-10-05 |
| 1518073451 | Prakashchandra Jivrambhai Chaudhari | Pathology | 4301 N Star Way, Modesto, CA 95356 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165480 | Robert Preston Wisner | Pathology | 716 Elmwood Dr, Davis, CA 95616-3517 | 2017-03-21 |
| 1124386032 | Sepehr Hamidi | Pathology | 10833 Le Conte Ave # 255-c, Los Angeles, CA 90095 | 2012-04-27 |
| 1700175684 | Yuna Kang | Pathology | 10833 Le Conte Ave Rm B186, Los Angeles, CA 90095 | 2011-03-31 |
| 1760656169 | Michelle Cathleen Hure | Pathology | 31899 Del Obispo St Ste 130, San Juan Capistrano, CA 92675-3234 | 2008-04-16 |
| 1700074143 | Salma Dabiri | Pathology | 100 Albright Way, Suite C, Los Gatos, CA 95032-1837 | 2007-10-10 |
| 1083817548 | Matthew Russell Muenster | Pathology | 1921 N Gateway Blvd Ste 101, Fresno, CA 93727-1679 | 2007-06-11 |
| 1215051669 | Roupen Yaghsezian | Pathology | 22632 Ocean Way, Laguna Niguel, CA 92677-5436 | 2007-03-19 |
| 1154451243 | Hugh Randolph Byers | Pathology | 3701 S Higuera St Ste 200, San Luis Obispo, CA 93401-7462 | 2007-03-07 |
| 1184750952 | Rajni Valli Mandal | Pathology | 1122 E Acacia Ave, Glendale, CA 91205-2536 | 2007-02-26 |
| 1730114521 | Frank Feng Luo | Pathology | 1180 Laurel St, Pasadena, CA 91103-2329 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
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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.