Spencer D Smith (NPI# 1346448933, PAC ID# 1153468129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1346448933 |
| PAC ID by PECOS | 1153468129 |
| Professional Enrollment ID | I20130116000433 |
| Full Name | Spencer D Smith |
| Organization Legal Name | KAUAI MEDICAL CLINIC |
| Address |
5371 Koloa Rd Koloa HI 96756-8623 |
| Phone Number | 8087421621 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5092628479 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120014 | WILCOX MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5371 Koloa Rd, Koloa, HI 96756-8623 | 8087421621 | KAUAI MEDICAL CLINIC |
| Organization Legal Name | KAUAI MEDICAL CLINIC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas M Leonard | Emergency Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Richard M Goodale | General Practice | Kauai Medical Clinic | 4-1105 Kuhio Hwy, B, Kapaa, HI 96746-1665 |
| Mary G Pixler | Internal Medicine | Kauai Medical Clinic | 5371 Koloa Rd, Koloa, HI 96756-8623 |
| Robert Todd Mathis | Obstetrics/gynecology | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Jennifer A Ballard | Nurse Practitioner | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Summer Douban | Internal Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Ryan G Mcmorries | Emergency Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Joseph W Burris Jr. | Emergency Medicine | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Andrew U So | Cardiovascular Disease (cardiology) | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| David R Mcdonald | Obstetrics/gynecology | Kauai Medical Clinic | 3-3420 Kuhio Hwy B, Lihue, HI 96766-1098 |
| Street Address |
5371 KOLOA RD |
| City | KOLOA |
| State | HI |
| Zip | 96756-8623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary G Pixler | Internal Medicine | Kauai Medical Clinic | 5371 Koloa Rd, Koloa, HI 96756-8623 |
| Joseph M Murray | Family Medicine | Kauai Medical Clinic | 5371 Koloa Rd, Koloa, HI 96756-8623 |
| Donald W Traller | Physician Assistant | Kauai Medical Clinic | 5371 Koloa Rd, Koloa, HI 96756-8623 |
| Natalie Lr Lee | Family Medicine | Kauai Medical Clinic | 5371 Koloa Rd, Koloa, HI 96756-8623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Hyum-sung Plank | Nurse Practitioner | Hawaii Health Systems Corporation | 2829 Ala Kalani Kaumaka St, B 201, Koloa, HI 96756-8571 |
| Richard Wayne Fukino | Emergency Medicine | Hawaii Health Systems Corporation | 2829 Ala Kalani Kaumaka St, B 201, Koloa, HI 96756-8571 |
| Daniel S Choi | Pain Management | Spectrumcare Rehabilitation Medical | 3176 Poipu Rd, Koloa, HI 96756-9521 |
| Meghan K Damelio | Nurse Practitioner | Spectrumcare Rehabilitation Medical | 3176 Poipu Rd, Koloa, HI 96756-9521 |
| Frank J Davis | Chiropractic | 3176 Poipu Rd, Koloa, HI 96756-9521 | |
| Maria Briones | Psychologist, Clinical | 3176 Poipu Rd, Suite 5, Koloa, HI 96756-9521 |
| City | KOLOA |
| Zip Code | 96756 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KOLOA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Spencer D Smith.
| 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.