DR. WILSON P SMITH JR.


Address: 2030 N Church Place, Spartanburg, SC 29303-2796
Phone: 8645826858

DR. WILSON P SMITH JR. (NPI# 1982675625) 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) 1982675625
Entity Type Individual
Full Name DR. WILSON P SMITH JR.
Credential MD
Practice Address 2030 N Church Place
Spartanburg
SC 29303-2796
Mailing Address Po Box 4276
Spartanburg
SC 29305-4276
Practice Telephone 8645826858
Practice Fax Number 8645850999
Mailing Telephone 8645826858
Mailing Fax Number 8645850999
Enumeration Date 2006-01-31
Last Update Date 2015-12-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
10510 SC Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
10510 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC MBPG'S 8688 01
SC 105102 05
SC RAILROAD 290009757 01

Other Providers WILSON SMITH

NPI Name Taxonomy Address Enumeration
1700864345 Wilson Smith Dentist 3933 Spicewood Springs Rd, Ste. E-200, Austin, TX 78759-8761 2006-01-04
1417584939 Wilson T Smith Student in an Organized Health Care Education/Training Program 45 Reade Pl, Poughkeepsie, NY 12601-3947 2020-03-25
1346326592 Wilson E Smith Chiropractor 6 Delfino Place, Carmel Valley, CA 93924 2006-10-31

Office Location

Street Address 2030 N CHURCH PLACE
City SPARTANBURG
State SC
Zip Code 29303-2796

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861466021 Rico V I Mendoza Internal Medicine 2030 N Church Place, Spartanburg, SC 29303-2796 2006-02-15
1316919194 Charles M Fogarty Internal Medicine 2030 N Church Place, Spartanburg, SC 29303 2006-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013532126 Adam Joseph Fulcher Family Medicine Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 2020-06-15
1275011652 Tri-state Medical Supplies, North Grove Durable Medical Equipment & Medical Supplies 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 2018-07-30
1992227151 Roxanne Pope Speech-Language Pathologist 290 N Grove Medical Park Dr., Spartanburg, SC 29303 2017-07-10
1861934879 Cortney Redmond Mckinney I Counselor 250 Dewey Sve., Spartanburg, SC 29303 2016-11-08
1578011474 Instride Foot and Ankle Specialists, Pllc Podiatrist 269 North Grove Medical Drive, Spartanburg, SC 29303 2016-09-20
1023477536 Whitney Brooke Terry Physician Assistant 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 2016-02-12
1306244348 Medcare Urgent Care Spartanburg, LLC Clinic/Center 301 E Wood Street, Spartanburg, SC 29303 2014-12-08
1508201393 Tom Ju Anesthesiology 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 2013-05-07
1295072312 Marie O'dell Registered Nurse 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 2013-01-09
1518203330 Sherard Hamilton Ansley Speech-Language Pathologist 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 2012-12-26
Find all providers in zip 29303

Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316375140 Spartanburg Medical Center Internal Medicine 101 E Wood St, Spartanburg, SC 29303-3040 2013-10-14
1316215171 Stuart Frederick Reynolds Internal Medicine 101 E Wood St, Spartanburg, SC 29303-3040 2011-12-08
1831350271 Sau Yin Wan Internal Medicine 151 Harold Fleming Court, Spartanburg, SC 29303-4225 2008-06-18
1447461579 Farhan Siddiqui Internal Medicine 151 Harold Fleming Ct, Spartanburg, SC 29303-4225 2007-05-24
1275583585 Chandar R Abboy Internal Medicine 151 Harold Fleming Court, Spartanburg, SC 29303-4225 2006-05-10
1710942305 Gregory J Feldman Internal Medicine 151 Harold Fleming Court, Spartanburg, SC 29303-4225 2006-04-18
1952366478 David R Erb Internal Medicine 151 Harold Fleming Court, Spartanburg, SC 29303-4225 2006-04-18
1861466021 Rico V I Mendoza Internal Medicine 2030 N Church Place, Spartanburg, SC 29303-2796 2006-02-15
1285605295 Christopher Richard Powers Internal Medicine 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 2006-01-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013112614 Christy Ross Sine Internal Medicine Palmetto Pulmonary and Critical Care, 3 St. Francis Drive, Ste 300, Greenville, SC 29601-3972 2007-06-15
1386760080 Jason Gunn Internal Medicine 125 Doughty St Ste 200, Charleston, SC 29403-5727 2007-03-22
1932233566 Imran E. Siddiqi Internal Medicine 3710 Mishoe Street, Med Share Bldg., Loris, SC 29569-2822 2007-03-15
1346258746 Carlton Gregory Cauthen Internal Medicine 720 Rabon Rd, Columbia, SC 29203-8900 2006-08-03
1710918982 Aiken Pulmonary Associates, LLC Internal Medicine 68 Physician Dr, Aiken, SC 29801-6388 2006-07-06
1275534307 Doli Elizabeth Biondillo Internal Medicine 3617 Casey St, Suite C, Loris, SC 29569-2981 2005-08-10
1740280841 Thomas D Kaelin Jr. Internal Medicine 9150 Medcom St. Ste B, N Charleston, SC 29406 2005-07-29
1508864968 Sola Kim Internal Medicine 9150 Medcom St, Ste B, N Charleston, SC 29406-7108 2005-07-11
1881699957 Jack Legrand Depriest Internal Medicine 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 2005-06-16
1942203922 Nicholas J Pastis Jr. Internal Medicine 171 Ashley Ave, Charleston, SC 29425-8900 2005-05-24
Find all providers with the same taxonomy

Competitor

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City SPARTANBURG
Zip Code 29303

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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