Justin A Smith (NPI# 1649643982, PAC ID# 0941502850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649643982 |
| PAC ID by PECOS | 0941502850 |
| Professional Enrollment ID | I20160111000118 |
| Full Name | Justin A Smith |
| Organization Legal Name | SCOTT ORTHOPEDIC CENTER, INC. |
| Address |
5897 County Rd Suite 107 Proctorville OH 45669-8852 |
| Phone Number | 3045256905 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355315003 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360261 | THREE GABLES SURGERY CENTER |
| 510007 | ST MARY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 3045256905 | SCOTT ORTHOPEDIC CENTER, INC. |
| 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 | 3045256905 | SCOTT ORTHOPEDIC CENTER, INC. |
| Organization Legal Name | SCOTT ORTHOPEDIC CENTER, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis E Bolano | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Jack R Steel | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Bethany Sue Cox | Physician Assistant | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Thomas Scott | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Stanley S Tao | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Michael D Grimes | Physician Assistant | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Steven C Lochow | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Robert W Lowe | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Vivekanand Neginhal | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Amanda R Kinnard | Nurse Practitioner | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Street Address |
5897 COUNTY RD SUITE 107 |
| City | PROCTORVILLE |
| State | OH |
| Zip | 45669-8852 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Louis Leaberry | Anesthesiology | River Cities Anesthesia Pllc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Erik Meadows | Certified Registered Nurse Anesthetist (crna) | River Cities Anesthesia Pllc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Katrina Brown Briggs | Anesthesiology | River Cities Anesthesia Pllc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Susan E Runyon | Nurse Practitioner | Valley Health Systems, Inc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Patricia A Turman | Certified Registered Nurse Anesthetist (crna) | River Cities Anesthesia Pllc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Wetzel P Perry | Certified Registered Nurse Anesthetist (crna) | River Cities Anesthesia Pllc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Frederick Adams | Anesthesiology | River Cities Anesthesia Inc | 5897 County Rd, Suite 107, Proctorville, OH 45669-8852 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Torin Patrick Walters | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Joseph Werner Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Hans Gerhard Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Grant Petty | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Nathan Randall Hatfield | Interventional Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Marsha S Anderson | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Ricky Jack Compton | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Nathan Scott Hill | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Matthew Edward Maxwell | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Rodger Alan Blake | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Find all physicians in zip 45669 | |||
| City | PROCTORVILLE |
| Zip Code | 45669 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PROCTORVILLE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.