Staci Smith
RACINE OBSERVATION MEDICAL GROUP, PLLC


Address: 2900 1st Ave, Huntington, WV 25702-1241
Phone: 3045261234

Staci Smith (NPI# 1558576454, PAC ID# 1951425412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1558576454
PAC ID by PECOS 1951425412
Professional Enrollment ID I20100907000103
Full Name Staci Smith
Organization Legal Name RACINE OBSERVATION MEDICAL GROUP, PLLC
Address 2900 1st Ave
Huntington
WV 25702-1241
Phone Number 3045261234
Gender F
Medical School WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 2005
Primary Specialty INTERNAL MEDICINE
Secondary Specialties NEPHROLOGY
Group Practice PAC ID 1254601578
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510007 ST MARY'S MEDICAL CENTER
510022 CHARLESTON AREA MEDICAL CENTER
510055 CABELL HUNTINGTON HOSPITAL INC

Other Locations

Address Phone Organization
333 Laidley St, Charleston, WV 25301-1614 3043476773 THS PHYSICIAN PARTNERS INC
2828 1st Ave, Suite 204, Huntington, WV 25702-1236 3045257111 HUNTINGTON HOSPITALIST GROUP INC
2900 1st Ave, Huntington, WV 25702-1241 3045261234 RACINE OBSERVATION MEDICAL GROUP, PLLC
2900 1st Ave, Rm 1025, Huntington, WV 25702-1241 3043997484 ST MARYS HOSPITALIST SERVICES LLC
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 3044144800 THS PHYSICIAN PARTNERS INC

Organization Information

Organization Legal Name RACINE OBSERVATION MEDICAL GROUP, PLLC
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Tina M Hill Nurse Practitioner Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Melin J Moses General Practice Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Stacy B Holley Nurse Practitioner Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Francesca E Karle Physician Assistant Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Timothy Michael Daly Emergency Medicine Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Misha Dent Physician Assistant Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Noah J Carroll Physician Assistant Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Krista D Hale Physician Assistant Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Katlin Rae Pritt Physician Assistant Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Lisa A Childress Nurse Practitioner Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241

Office Location

Street Address 2900 1ST AVE
City HUNTINGTON
State WV
Zip 25702-1241

Physicians in the same location

Name Specialty Organization Address
Stephanie N Price Physician Assistant St Marys Hospitalist Services LLC 2900 1st Ave, Rm 1025, Huntington, WV 25702-1241
William D Howell Certified Registered Nurse Anesthetist (crna) River Cities Anesthesia Pllc 2900 1st Ave, Huntington, WV 25702-1241
Carol E Porter Certified Registered Nurse Anesthetist (crna) River Cities Anesthesia Pllc 2900 1st Ave, Huntington, WV 25702-1241
Rupali N Sangrampurkar Hospitalist St Marys Hospitalist Services LLC 2900 1st Ave, Rm 1025, Huntington, WV 25702-1241
Jason G. Ellis Certified Registered Nurse Anesthetist (crna) River Cities Anesthesia Pllc 2900 1st Ave, Huntington, WV 25702-1241
Rachel A Conrad Nurse Practitioner St. Mary's Medical Management, LLC 2900 1st Ave, Suite 30, Huntington, WV 25702-1241
Joshua Ross Certified Registered Nurse Anesthetist (crna) River Cities Anesthesia Pllc 2900 1st Ave, Huntington, WV 25702-1241
Bethany K Porter Nurse Practitioner St. Mary's Medical Management, LLC 2900 1st Ave, Suite 10, Huntington, WV 25702-1241
Tina M Hill Nurse Practitioner Racine Observation Medical Group, Pllc 2900 1st Ave, Huntington, WV 25702-1241
Kevin Lee Dickerson Certified Registered Nurse Anesthetist (crna) River Cities Anesthesia Pllc 2900 1st Ave, Huntington, WV 25702-1241
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Physicians in the same zip code

Name Specialty Organization Address
Lacy Michelle Davidson Registered Dietitian Or Nutrition Professional Ultimate Health Services Inc 2860 Thrid Ave, Suite 20, Huntington, WV 25702
Eric Lee Ping Nurse Practitioner St. Mary's Medical Management, LLC 2828 1st Ave, Huntington, WV 25702-1236
Janet N Wallace Family Medicine St. Mary's Medical Management, LLC 2828 1st Ave, Huntington, WV 25702-1236
Heather Jasmine Holton Nurse Practitioner St. Mary's Medical Management, LLC 2828 1st Ave, Suite 200, Huntington, WV 25702-1236
Mark A Adams Nurse Practitioner St. Mary's Medical Management, LLC 2828 1st Ave, Suite 200, Huntington, WV 25702-1236
Nepal Chowdhury Thoracic Surgery St. Mary's Medical Management, LLC 2828 1st Ave, Suite 200, Huntington, WV 25702-1236
Rudy M Malayil Physical Medicine and Rehabilitation St. Mary's Medical Management, LLC 2828 1st Ave, Huntington, WV 25702-1236
Luis E Bolano Orthopedic Surgery Scott Orthopedic Center, Inc. 2828 1st Ave, Suite 400, Huntington, WV 25702-1236
Misty Lynn Spradlin Nurse Practitioner St. Mary's Medical Management, LLC 2828 1st Ave, Huntington, WV 25702-1236
Jack R Steel Orthopedic Surgery Scott Orthopedic Center, Inc. 2828 1st Ave, Suite 400, Huntington, WV 25702-1236
Find all physicians in zip 25702

Competitor

Search similar physicians

City HUNTINGTON
Zip Code 25702
Specialty INTERNAL MEDICINE
City + Specialty HUNTINGTON + INTERNAL MEDICINE

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Dataset Information

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.

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