Staci Smith (NPI# 1558576454, PAC ID# 1951425412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510007 | ST MARY'S MEDICAL CENTER |
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510055 | CABELL HUNTINGTON HOSPITAL INC |
| 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 Legal Name | RACINE OBSERVATION MEDICAL GROUP, PLLC |
| Physicians | 18 |
| 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 |
| Street Address |
2900 1ST AVE |
| City | HUNTINGTON |
| State | WV |
| Zip | 25702-1241 |
| 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 |
| Find all physicians in the same address | |||
| 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 | |||
| City | HUNTINGTON |
| Zip Code | 25702 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HUNTINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Staci 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.