J D SMITH DPM P C (NPI# 1992977102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992977102 |
| Entity Type | Organization |
| Organization Name | J D SMITH DPM P C |
| Practice Address |
202 Rosa Ln Florence AL 35630-1769 |
| Practice Telephone | 2567641806 |
| Practice Fax Number | 2567608442 |
| Mailing Telephone | 2567641806 |
| Mailing Fax Number | 2567608442 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | DR. JOHN DAVID SMITH (PRESIDENT) |
| Authorized Official Telephone | 2567641806 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
#212 | AL | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
#212 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE NUMBER | 480027775 | 01 | |
| AL | BCBS OF AL | 51017836 | 01 |
| Street Address |
202 ROSA LN |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-1769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581704 | J D Smith | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581704 | J D Smith | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2006-05-05 |
| 1174521082 | William M Nielson | Podiatrist | 7370 Turfway Rd, Ste 302, Florence, KY 41042 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699560 | Dr. Barry J. Gould, Podiatry Consultants, LLC- | Podiatrist | 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 | 2016-10-12 |
| 1003253188 | Southeast Podiatry PC | Podiatrist | 1318 S Main St, Atmore, AL 36502-2834 | 2013-05-29 |
| 1023455102 | Southeast Podiatry PC | Podiatrist | 610 Douglas Ave, Brewton, AL 36426-1812 | 2013-05-29 |
| 1467647446 | Advanced Foot Care PC | Podiatrist | 348 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-09-12 |
| 1275686305 | Hadryan H Vaughn | Podiatrist | 4709 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-01-20 |
| 1497819536 | Douglas D Stewart | Podiatrist | 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 | 2006-12-21 |
| 1063576494 | Anz Gould Investments, Inc. | Podiatrist | 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2006-12-20 |
| 1962572198 | Debra D. Morgan | Podiatrist | 1714 W 3rd St, Montgomery, AL 36106-1506 | 2006-11-08 |
| 1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
| 1841203957 | Brett S Stark | Podiatrist | 890 N Dean Rd Ste 400, Auburn, AL 36830-9440 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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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.