KEVIN HARRIS SMITH (NPI# 1962665430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962665430 |
| Entity Type | Individual |
| Full Name | KEVIN HARRIS SMITH |
| Credential | MD |
| Practice Address |
3100 Maccorkle Ave Se Ste 205 Charleston WV 25304-1228 |
| Practice Telephone | 3043882303 |
| Practice Fax Number | 3043882390 |
| Mailing Telephone | 3043882303 |
| Mailing Fax Number | 3043882390 |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
29494 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
29494 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Maccorkle Ave Se, Charleston, WV 253041227 | 3043885432 | |
| 501 Morris St, Charleston, WV 253011326 | 3043885432 | |
| Uk Division of Pulmonary Critical Care, 740 S. Limestone, L543 Ky Clinic, Lexington, KY 405360284 | 8593235045 | 8592572418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394310 | Kevin Lee Smith | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-07-29 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| Street Address |
3100 MACCORKLE AVE SE STE 205 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623108 | David A Adkins | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2005-10-14 |
| 1417511361 | Charli Ann Boothe | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2019-04-25 |
| 1780107714 | Bonnie Katherine Skarzinski | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2017-07-21 |
| 1063958114 | Majdi S. Al Nabulsi | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2017-01-12 |
| 1396129441 | Jonathan Lucas-neel | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2015-07-17 |
| 1962801340 | Amanda Campbell | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2014-08-21 |
| 1063829349 | Vikhyath Terla | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2014-07-17 |
| 1144575945 | Richa Singh | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2012-07-17 |
| 1477874295 | Hatim S Al-jaroushi | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2010-06-15 |
| 1649415837 | Ashish Koirala | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2008-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982756094 | Mallinath Kayi | Internal Medicine | 401 Division St Ste 305, Charleston, WV 25309-1455 | 2007-01-17 |
| 1699786939 | Sleepmed Inc. | Internal Medicine | 1867 Savage Rd, Charleston, SC 29407 | 2006-08-11 |
| 1144256819 | Robert E Hillberg | Internal Medicine | 300 First Ave., Charleston, MA 02129-1101 | 2006-06-24 |
| 1063465250 | Coastal Pulmonary, LLP | Internal Medicine | 63 Gadsden St, Charleston, SC 29401-1211 | 2006-05-18 |
| 1457322059 | Daniel Kassaye Game | Internal Medicine | 1866 Raoul Wallenberg Blvd, Suite B, Charleston, SC 29407-3545 | 2006-01-31 |
| 1629061973 | Lo'ay M. Al-asadi | Internal Medicine | 2335 Chesterfield Ave Ste 103, Charleston, WV 25304 | 2005-08-23 |
| 1053312314 | Kurt M. Nellhaus, M.d. | Internal Medicine | 3100 Maccorkle Ave Se, Suite 806, Charleston, WV 25304-1223 | 2005-08-09 |
| 1255738308 | Roper Saint Francis Physicians Network | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414 | 2014-12-04 |
| 1033485156 | Bradley William Petkovich | Internal Medicine | 171 Ashley Avenue, Charleston, SC 29425-0001 | 2012-03-23 |
| 1386930105 | Mario Carlos Ponce Alvarez | Internal Medicine | 96 Jonathan Lucas St, Csb Suite 812, Msc 630, Charleston, SC 29425-8900 | 2011-06-20 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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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.