Charles M Smith (NPI# 1144211855, PAC ID# 2769400654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1144211855 |
PAC ID by PECOS | 2769400654 |
Professional Enrollment ID | I20051109000616 |
Full Name | Charles M Smith |
Organization Legal Name | PROGRESSIVE MEDICAL ASSOCIATES PLLC |
Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
Phone Number | 4808353000 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 7113829599 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
030065 | BANNER DESERT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1400 S Dobson Rd, Mesa, AZ 85202-4707 | 4808353000 | PROGRESSIVE MEDICAL ASSOCIATES PLLC |
Organization Legal Name | PROGRESSIVE MEDICAL ASSOCIATES PLLC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacy C Le | Internal Medicine | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
Raymond J Hemmert | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Charles H Pshaenich | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Robert S Orava | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Amanda M Clerico | Nurse Practitioner | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Raphael A Colon-hernandez | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Michael P Lum Lung | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Scott Shields | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Stacy K Mullet | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
Wade M Reynolds | Nurse Practitioner | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Street Address |
1400 S DOBSON RD |
City | MESA |
State | AZ |
Zip | 85202-4707 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mouhsen H Al Hakeem | Pulmonary Disease | Banner Hospital Based Physicians Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Raymond J Hemmert | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Charles H Pshaenich | Emergency Medicine | Progressive Medical Associates Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Mark Murphy | Anesthesiology | Canyon State Anesthesiologists PC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Alexander A Pedenko | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
Timothy E Black | Anesthesiology | Acacia Anesthesia, Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Yerko Borghero | Radiation Oncology | Banner Cancer Center Specialists LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Babak Tehranchi | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | |
Jatinder Singh Somal | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | |
Mary F Hahn | Pathology | Pathology Specialist of Arizona, LLP | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Warren H Tripp Jr. | Family Medicine | 1140 S San Jose, Suite B, Mesa, AZ 85202-3879 | |
Scott N Maling | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
Mark R Pipher | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
Jason C Harrill | Podiatry | Desert Foot and Ankle PC | 1520 S Dobson Rd, Suite 307, Mesa, AZ 85202-4700 |
Thomas H Strong Jr. | Obstetrics/gynecology | Valley Perinatal Services LLC | 2242 W Southern Ave, Mesa, AZ 85202-4704 |
Thomas James Krolick | Anesthesiology | Premier Anesthesia Consultants PC | 1400 S Dobson Rd, Banner Desert Medical Center, Mesa, AZ 85202-4707 |
Nathan R Beget | Anesthesiology | Canyon State Anesthesiologists PC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Romen K Jha | Internal Medicine | Apollo Hospitalists Pllc | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Win Toe | Neurology | Banner Physician Specialists Arizona LLC | 1400 S Dobson Rd, Banner Health Clinic, Mesa, AZ 85202-4707 |
Jamie Rae Sparrow | Hospice/palliative Care | Banner Hospital Based Physicians Arizona LLC | 1400 S Dobson Rd, Mesa, AZ 85202-4707 |
Find all physicians in zip 85202 |
City | MESA |
Zip Code | 85202 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | MESA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Charles M 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.