MR. RAY D. SMITH (NPI# 1992769020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992769020 |
Entity Type | Individual |
Full Name | MR. RAY D. SMITH |
Credential | CPO, LPO |
Practice Address |
304 Gemini Ct Victoria TX 77901-2679 |
Mailing Address |
Po Box 4646 Victoria TX 77903-4646 |
Practice Telephone | 3615752877 |
Practice Fax Number | 3615755111 |
Mailing Telephone | 3615752877 |
Mailing Fax Number | 3615755111 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | 43 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TX BOARD OF P & O | LPO43 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942590062 | Ray Patrick Smith | Pharmacist | 521 N State Rd, Davison, MI 48423-1311 | 2011-04-10 |
1740268804 | Ray William Smith | Counselor | 9507 N Division St, The Holland Building, Suite A, Spokane, WA 99218-1248 | 2006-01-08 |
1205832078 | Ray F Smith | Family Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2005-06-24 |
1992031819 | Ray S Smith | Occupational Therapy Assistant | 300 Spring St, Westbrook, ME 04092-3915 | 2009-10-28 |
1356524144 | Ray Scott Smith | Dentist | 275 Bicentennial Hwy, Springfield, MA 01118-1900 | 2007-12-14 |
1720005325 | Ray C Smith IIi | Emergency Medicine | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2006-07-17 |
1538125513 | Ray M Smith IIi | Pathology | 150 Kingsley Lane, Norfolk, VA 23505 | 2006-04-26 |
1851375349 | Ray David Smith | Internal Medicine | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2005-11-30 |
Street Address |
304 GEMINI CT |
City | VICTORIA |
State | TX |
Zip Code | 77901-2679 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801850474 | Certified Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 304 Gemini Ct, Victoria, TX 77901-2679 | 2006-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
Find all providers in zip 77901 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427521871 | Rhonda Marie Mahan | Orthotic Fitter | 3229 Patrick Pl, Midland, TX 79705-2326 | 2019-01-08 |
1992214670 | Jacob Bradford | Orthotic Fitter | 3209 Courtyard Dr Ste L, Midland, TX 79705-3276 | 2017-09-25 |
1942725585 | Mahmood Syed Ghori | Orthotic Fitter | 110 Broadway St Ste 110, San Antonio, TX 78205-1912 | 2017-08-04 |
1821353152 | Shawn Rice | Orthotic Fitter | 5510 Gail Dr, Beaumont, TX 77708-2908 | 2012-07-12 |
1548493596 | Lisa M Luna | Orthotic Fitter | 510 W I 30 Ste 213, Garland, TX 75043-5728 | 2009-08-25 |
1982838496 | Robert Michael Super | Orthotic Fitter | 1255 W 15th St Ste 540, Plano, TX 75075-7248 | 2009-05-12 |
1225207822 | Terry Valentine | Orthotic Fitter | 7110 Wurzbach Rd, Apt 403, San Antonio, TX 78240-4821 | 2008-02-27 |
1841333911 | Karlheinz Reichl | Orthotic Fitter | 517 Peanut Dr, Temple, TX 76502-5300 | 2007-02-15 |
1952454233 | David J. Greenway | Orthotic Fitter | 1100 W Cannon St, Fort Worth, TX 76104-2934 | 2007-01-19 |
1417010414 | Jo Denton Smith | Orthotic Fitter | 311 Dodson Avenue, Midland, TX 79701-6334 | 2006-12-19 |
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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.