STACEY M. SMITH


Address: 2010 Baldwin Ln, Winston Salem, NC 27103-5846
Phone: 3362771717

STACEY M. SMITH (NPI# 1972743185) 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) 1972743185
Entity Type Individual
Full Name STACEY M. SMITH
Other Name STACEY RENEE MOOSE
Credential PA
Practice Address 2010 Baldwin Ln
Winston Salem
NC 27103-5846
Mailing Address Po Box 751803
Charlotte
NC 28275-1803
Practice Telephone 3362771717
Mailing Telephone 3362771717
Enumeration Date 2009-02-27
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 103070 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
0110003000 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY SMITH

NPI Name Taxonomy Address Enumeration
1790385771 Stacey Smith Physical Therapy Assistant 24 Deer Run Rd, Little Egg Harbor Twp, NJ 08087-9722 2020-10-28
1205487139 Stacey C Smith Case Manager/Care Coordinator 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 2019-09-23
1356812994 Stacey Smith Doula 8711 Whitson Ct, Springfield, VA 22153-1268 2018-12-07
1871000745 Stacey Smith Counselor 8622 Winton Rd Ste A, Cincinnati, OH 45231-4823 2018-01-02
1992150411 Stacey Smith Community Health Worker 3042 Fitzgerald St, Jacksonville, FL 32254-3947 2016-05-03
1942664669 Stacey Smith Pharmacist 124845 Main St, Williston, SC 29853-2711 2016-04-08
1184085813 Stacey Smith Psychologist 2211 S Mill Ave, Tempe, AZ 85282-2115 2016-03-08
1881011716 Stacey Amanda Smith Pharmacist 4468 Eagle River Run, Broomfield, CO 80023-8753 2014-03-28
1164755765 Stacey V Smith Counselor 69 Mascot St, Dorchester Center, MA 02124-4130 2009-09-14
1831357185 Stacey Marie Smith Specialist/Technologist, Other 1816 N 155th St, Shoreline, WA 98133-6014 2008-05-22

Office Location

Street Address 2010 BALDWIN LN
City WINSTON SALEM
State NC
Zip Code 27103-5846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477540466 John J Smith IIi Urology 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2005-10-04
1548877939 Sarah Katherine Ebersold Urology 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2020-09-29
1861025348 Rachel Day Beauchamp Nurse Practitioner 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2020-02-12
1659724839 Kevin Minwoo Chung Physician Assistant 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2016-07-22
1851763361 Melvin Nelson Levers IIi Physician Assistant 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2015-10-22
1508234402 Forsyth Memorial Hosptial Inc Obstetrics & Gynecology 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2015-09-09
1174963359 John R Laisure Physician Assistant 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2013-07-02
1356632442 Richard Heechun Shin Urology 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2011-04-25
1851555858 John Mcfarland Wilson Urology 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2008-07-18
1639342835 Brandon Lee Craven Urology 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2008-04-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598375032 Anthony Gentile Physician Assistant 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 2020-08-07
1376152074 Meera Shah Physician Assistant 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 2020-07-28
1770118457 Heather Leigh Bissell Physician Assistant 153 Lavender Ln, Winston Salem, NC 27107-6023 2020-03-03
1245899806 Cheryl L Sizer Physician Assistant Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2019-06-07
1235606575 Vincent James Alderete Physician Assistant Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 2018-10-25
1386127538 Frederick Keith Stirewalt Physician Assistant Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 2018-09-13
1164936852 Lindsay Webster Physician Assistant 10479 Nc-109, 107a, Winston Salem, NC 27107 2017-11-17
1518477694 Raul Canchari Ames Physician Assistant 512 Waughtown St, Winston Salem, NC 27127-2236 2017-10-03
1922528611 Devon Adams Physician Assistant 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 2017-06-22
1053862474 Seguin Warwick Beuerlein Physician Assistant 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 2016-10-20
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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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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