Stephen Smith


Address: 1320 S 79th St, Omaha, NE 68124-1411
Phone: 4026810455

Stephen Smith (NPI# 1194740126, PAC ID# 2668372459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.

Physician Overview

Nation Provider ID (NPI) 1194740126
PAC ID by PECOS 2668372459
Professional Enrollment ID I20050905000011
Full Name Stephen Smith
Address 1320 S 79th St
Omaha
NE 68124-1411
Phone Number 4026810455
Gender M
Credential MD
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1974
Primary Specialty PULMONARY DISEASE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
280061 REGIONAL WEST MEDICAL CENTER

Other Locations

Address Phone Organization
1320 S 79th St, Omaha, NE 68124-1411 4026810455
531 Beebe St, Osceola, NE 68651-5537 4027472031
4021 Ave B, Scottsbluff, NE 69361-4602 3086353711

Organization Information

Office Location

Street Address 1320 S 79TH ST
City OMAHA
State NE
Zip 68124-1411

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Competitor

Search similar physicians

City OMAHA
Zip Code 68124
Specialty PULMONARY DISEASE
City + Specialty OMAHA + PULMONARY DISEASE

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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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