Brian M Smith (NPI# 1811985948, PAC ID# 7416851472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1811985948 |
| PAC ID by PECOS | 7416851472 |
| Professional Enrollment ID | I20041221000612 |
| Full Name | Brian M Smith |
| Organization Legal Name | COOPER SURGICAL ASSOCIATES, PA |
| Address |
6225 Main St Voorhees NJ 08043-4629 |
| Phone Number | 8563256674 |
| Gender | M |
| Credential | DDS |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 3274430764 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Plaza Dr, Bldg 2, Sewell, NJ 08080-9207 | 8562704100 | COOPER SURGICAL ASSOCIATES, PA |
| 6225 Main St, Voorhees, NJ 08043-4629 | 8563256674 | COOPER SURGICAL ASSOCIATES, PA |
| Organization Legal Name | COOPER SURGICAL ASSOCIATES, PA |
| Physicians | 155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Odneal Marinoff | Occupational Therapy | Cooper Surgical Associates, Pa | 6017 Main St, Voorhees, NJ 08043-4659 |
| Vivian Jolley Bea | Surgical Oncology | Cooper Surgical Associates, Pa | 3 Cooper Plz, Rm 104, Camden, NJ 08103-1407 |
| Steven C Bonawitz | Plastic and Reconstructive Surgery | Cooper Surgical Associates, Pa | 6200 Main St, Voorhees, NJ 08043-4629 |
| Nicholas Caputo | Physical Therapy | Cooper Surgical Associates, Pa | 6225 Main St, Voorhees, NJ 08043-4629 |
| Katharine R Hommes | Nurse Practitioner | Cooper Surgical Associates, Pa | 1210 Brace Rd, Cherry Hill, NJ 08034-3213 |
| Joan M Jerrido | Podiatry | Cooper Surgical Associates, Pa | 2 Plaza Dr, Suite 201, Sewell, NJ 08080-9207 |
| David H Clements Iii | Orthopedic Surgery | Cooper Surgical Associates, Pa | 401 S Kings Hwy, Suite 3a, Cherry Hill, NJ 08033 |
| Christopher Jon Bilbao | Neurosurgery | Cooper Surgical Associates, Pa | 3 Cooper Plz, Rm 104, Camden, NJ 08103-1407 |
| Henry J Dolch Jr. | Orthopedic Surgery | Cooper Surgical Associates, Pa | 3 Cooper Plz, Camden, NJ 08103-1438 |
| David M Millili | Podiatry | Cooper Surgical Associates, Pa | 3 Cooper Plz, Rm 403, Camden, NJ 08103-1438 |
| Street Address |
6225 MAIN ST |
| City | VOORHEES |
| State | NJ |
| Zip | 08043-4629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Caputo | Physical Therapy | Cooper Surgical Associates, Pa | 6225 Main St, Voorhees, NJ 08043-4629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Egan | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Andrew M Alloy | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Michael B Goldstein | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Alex Celluzzi | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Alan J Mushnick | Gastroenterology | Advanced Gastrointestinal Specialists, P.C. | 2301 Evesham Rd, Bldg 800 Suite 110, Voorhees, NJ 08043 |
| Renee A Vekkos | Podiatry | 104 Homer Ave, Voorhees, NJ 08043-1041 | |
| Veena S Gandhi | Obstetrics/gynecology | Veena S Gandhi M.d. P.a. | 314 S Burnt Mill Rd, Voorhees, NJ 08043-1107 |
| Stephen D Raphael | Internal Medicine | 303 Haddonfield Berlin Rd, Voorhees, NJ 08043-1412 | |
| Jeffrey S Rosenman | Podiatry | 303 Haddonfield Berlin Rd, Voorhees, NJ 08043-1412 | |
| Jamal Mahmud | Psychiatry | Positive Beginnings | 22 Hidden Acres Dr, Voorhees, NJ 08043-1550 |
| Find all physicians in zip 08043 | |||
| City | VOORHEES |
| Zip Code | 08043 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | VOORHEES + MAXILLOFACIAL SURGERY |
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| 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.