Mallory J Smith (NPI# 1720561160, PAC ID# 5193065332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720561160 |
| PAC ID by PECOS | 5193065332 |
| Professional Enrollment ID | I20190325002588 |
| Full Name | Mallory J Smith |
| Organization Legal Name | ADVANCED WOMENS CARE INC |
| Address |
1111 Boardman Canfield Rd Boardman OH 44512-4062 |
| Phone Number | 3309650909 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840186508 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360185 | SALEM REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 | 3309650909 | ADVANCED WOMENS CARE INC |
| Organization Legal Name | ADVANCED WOMENS CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi A Johnson | Obstetrics/gynecology | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Antoine T El-hayek | Obstetrics/gynecology | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Tara D Winchester | Obstetrics/gynecology | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Melissa E Duvall | Nurse Practitioner | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Street Address |
1111 BOARDMAN CANFIELD RD |
| City | BOARDMAN |
| State | OH |
| Zip | 44512-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi A Johnson | Obstetrics/gynecology | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Antoine T El-hayek | Obstetrics/gynecology | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Tara D Winchester | Obstetrics/gynecology | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Melissa E Duvall | Nurse Practitioner | Advanced Womens Care Inc | 1111 Boardman Canfield Rd, Boardman, OH 44512-4062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | BOARDMAN |
| Zip Code | 44512 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOARDMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mallory J 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.