DR. BENNETT E SMITH JR. (NPI# 1982740718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982740718 |
Entity Type | Individual |
Full Name | DR. BENNETT E SMITH JR. |
Credential | MD |
Practice Address |
118 College Dr 5066 Hattiesburg MS 39406 |
Practice Telephone | 6012665390 |
Practice Fax Number | 6012664205 |
Mailing Telephone | 6012665390 |
Mailing Fax Number | 6012664205 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 06466 | MS | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
1407801095 | Bennett Walker Smith Jr. | Anesthesiology | 9651 Maypan Pl, Largo, FL 33777-4906 | 2006-05-23 |
1326600875 | Bennett Smith | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2019-07-05 |
1811342595 | Bennett Smith | Pediatrics | 1295 E Hillsdale Blvd, Foster City, CA 94404-1214 | 2016-04-29 |
Street Address |
118 COLLEGE DR 5066 |
City | HATTIESBURG |
State | MS |
Zip Code | 39406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194790212 | Jeffrey J Parr | Specialist/Technologist | 118 College Dr, Hattiesburg, MS 39406-7500 | 2006-02-22 |
1982211496 | Jessica Lero | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-29 |
1174130900 | Jayson Jerome Hunter | Specialist/Technologist | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-25 |
1578170429 | Ranesha Cook | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-24 |
1437766540 | Trinity Latrice Mcclain | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-23 |
1255947461 | Madison Grace Mitchell | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-22 |
1346852118 | Cristy Collins | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0001 | 2020-08-21 |
1609411255 | Brianna Renee Welch | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-11-07 |
1750926382 | Sabrina Harkins | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-11-06 |
1700420973 | Holly Elmore | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-10-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427559731 | Regan Ashley Nicholson I | Specialist/Technologist | 118 College Dr., Hattiesburg, MS 39406 | 2018-02-22 |
1083038590 | Christopher Clapton | Specialist/Technologist | 118 College Dr # 5017, Hattiesburg, MS 39406 | 2014-02-05 |
1396225025 | Leslie Oglesby | Specialist/Technologist | 118 College Dr # 5122, Hattiesburg, MS 39406-0001 | 2018-08-21 |
1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
1710359922 | Chantel Nicole Chatham | Dietitian, Registered | 118 College Dr # 5114, Hattiesburg, MS 39406-0001 | 2015-10-27 |
1700272432 | Southern Miss Autism Research Team (smart) Clinic | Behavioral Analyst | 118 College Dr Box 5025, University of Southern Mississippi, Hattiesburg, MS 39406-0001 | 2015-04-09 |
1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
1215273032 | University of Southern Mississippi | Speech-Language Pathologist | 118 College Dr Box 5215, Hattiesburg, MS 39406-0001 | 2012-12-26 |
1225385198 | Dedra Clark-allen | Speech-Language Pathologist | The Dubard School for Language Disorders, 118 College Drive #5215, Hattiesburg, MS 39406-0001 | 2012-08-10 |
1376813394 | Marcelle C Jones | Speech-Language Pathologist | Kay James Dr, Hattiesburg, MS 39406-0001 | 2012-01-06 |
Find all providers in zip 39406 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
1962796789 | Ochsner Clinic LLC | General Practice | #4 Willow Pointe, Suite 1, Hattiesburg, MS 39402 | 2011-06-09 |
1285653386 | Pacific Physician Services, LLC | General Practice | 101 Asbury Cirlce, Hattiesburg, MS 39402 | 2006-07-19 |
1326003856 | Pacific Physician Services, LLC | General Practice | 14 Orleans Dr, Hattiesburg, MS 39402-8674 | 2006-04-18 |
1144724105 | Jacob Mcclendon | General Practice | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2018-03-22 |
1326565763 | Crystal Parker Mcnabb | General Practice | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2017-08-25 |
1336384742 | Pioneer Health Care, LLC | General Practice | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2008-12-14 |
1134379175 | Robert E Bailey | General Practice | 222 S 27th Ave, Minor Care Clinic, Hattiesburg, MS 39401-7165 | 2008-09-26 |
1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
1316968084 | Pacific Physician Services, LLC | General Practice | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-07-21 |
Find all providers in HATTIESBURG |
City | HATTIESBURG |
Zip Code | 39406 |
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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.