Edward S Smith (NPI# 1679577100, PAC ID# 5597890723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679577100 |
| PAC ID by PECOS | 5597890723 |
| Professional Enrollment ID | I20100312000921 |
| Full Name | Edward S Smith |
| Organization Legal Name | CENTRAL CAROLINA DERMATOLOGY CLINIC |
| Address |
404 Westwood Ave Suite 107 High Point NC 27262-4316 |
| Phone Number | 33688731951104 |
| Gender | M |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1998 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PATHOLOGY |
| Group Practice PAC ID | 9436140738 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340047 | NORTH CAROLINA BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 404 Westwood Ave, Suite 107, High Point, NC 27262-4316 | 33688731951104 | CENTRAL CAROLINA DERMATOLOGY CLINIC |
| Organization Legal Name | CENTRAL CAROLINA DERMATOLOGY CLINIC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel C Kirby | Dermatology | Central Carolina Dermatology Clinic | 231 Harmon Ln, Kernersville, NC 27284-2936 |
| Joshua S Butler | Dermatology | Central Carolina Dermatology Clinic | 6 Medical Park Dr, Lexington, NC 27292-6768 |
| Elyshia M Warden | Physician Assistant | Central Carolina Dermatology Clinic | 404 Westwood Ave, Suite 107, High Point, NC 27262-4316 |
| Robert T Migliardi | Dermatology | Central Carolina Dermatology Clinic | 6 Medical Park Dr, Lexington, NC 27292-6768 |
| Forrest S Staton | Physician Assistant | Central Carolina Dermatology Clinic | 6 Medical Park Dr, Lexington, NC 27292-6768 |
| Carlin B Hollar | Dermatology | Central Carolina Dermatology Clinic | 404 Westwood Ave, Suite 107, High Point, NC 27262-4316 |
| Brian S Strauss | Dermatology | Central Carolina Dermatology Clinic | 404 Westwood Ave, Suite 107, High Point, NC 27262-4316 |
| Street Address |
404 WESTWOOD AVE SUITE 107 |
| City | HIGH POINT |
| State | NC |
| Zip | 27262-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Kenney | General Surgery | Wake Forest University Health Sciences | 404 Westwood Ave, Suite 303, High Point, NC 27262-4315 |
| Vicki M Stovall | Nephrology | High Point Nephrology Associates, PC | 404 Westwood Ave, Suite 105, High Point, NC 27262-4316 |
| Jane K Ybanez | Internal Medicine | Wake Forest University Health Sciences | 404 Westwood Ave, Suite 201, High Point, NC 27262-4316 |
| Elyshia M Warden | Physician Assistant | Central Carolina Dermatology Clinic | 404 Westwood Ave, Suite 107, High Point, NC 27262-4316 |
| Mike Malek Gassemi | Internal Medicine | Wake Forest University Health Sciences | 404 Westwood Ave, Suite 203, High Point, NC 27262-4316 |
| F D Blazek | General Surgery | Wake Forest University Health Sciences | 404 Westwood Ave, Suite 303, High Point, NC 27262-4315 |
| Jeanne M Zekan | Nephrology | High Point Nephrology Associates, PC | 404 Westwood Ave, Suite 105, High Point, NC 27262-4316 |
| Adeyinka A Adegoroye | Nephrology | High Point Nephrology Associates, PC | 404 Westwood Ave, Suite 105, High Point, NC 27262-4316 |
| Carlin B Hollar | Dermatology | Central Carolina Dermatology Clinic | 404 Westwood Ave, Suite 107, High Point, NC 27262-4316 |
| Richard V Fletcher | Obstetrics/gynecology | Regional Physicians LLC | 404 Westwood Ave, High Point, NC 27262-4316 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Louis Linder | Clinical Social Worker | Family Service of The Piedmont, Inc | 1401 Long St, High Point, NC 27262-2541 |
| Theresa J Johnson | Clinical Social Worker | Family Service of The Piedmont, Inc | 1401 Long St, High Point, NC 27262-2541 |
| Traci M Abernethy | Clinical Social Worker | Family Service of The Piedmont, Inc | 1401 Long St, High Point, NC 27262-2541 |
| Charlotte Deming Mcvearry | Clinical Social Worker | Family Service of The Piedmont, Inc | 1401 Long St, High Point, NC 27262-2541 |
| Kevin S Murray | Chiropractic | 1211 Johnson St, High Point, NC 27262-3126 | |
| Virgil V Willard Ii | Plastic and Reconstructive Surgery | 1011 N Lindsay St, Suite 202, High Point, NC 27262-3495 | |
| Stephen S Ruehle | Internal Medicine | 624 Quaker Ln, C201, High Point, NC 27262-3800 | |
| Travonia Davis | Nurse Practitioner | Wake Forest University Health Sciences | 320 Boulevard St, High Point, NC 27262-3802 |
| Lura Katherine Wolfe | Clinical Social Worker | Wake Forest University Health Sciences | 320 Boulevard St, High Point, NC 27262-3802 |
| John Morris Goeke | Psychologist, Clinical | Wake Forest University Health Sciences | 320 Boulevard St, High Point, NC 27262-3802 |
| Find all physicians in zip 27262 | |||
| City | HIGH POINT |
| Zip Code | 27262 |
| Specialty | DERMATOLOGY |
| City + Specialty | HIGH POINT + DERMATOLOGY |
Please comment or provide details below to improve the information on Edward S 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.