Thomas Larry Smith (NPI# 1184685976, PAC ID# 7719059005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1184685976 |
| PAC ID by PECOS | 7719059005 |
| Professional Enrollment ID | I20101019001028 |
| Full Name | Thomas Larry Smith |
| Organization Legal Name | SKIN AND LASER SURGERY CENTER |
| Address |
1359 Beverly Rd Suite 200 Mc Lean VA 22101-3668 |
| Phone Number | 7038931114 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082788302 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 | 7038931114 | SKIN AND LASER SURGERY CENTER |
| 2200 Opitz Blvd, Suite 100, Woodbridge, VA 22191-3342 | 7034924140 | SKIN AND LASER SURGERY CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 63% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 87% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 39% |
| Organization Legal Name | SKIN AND LASER SURGERY CENTER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Disimone | Physician Assistant | Skin and Laser Surgery Center | 2200 Opitz Blvd, Suite 100, Woodbridge, VA 22191-3342 |
| Amir A Bajoghli | Dermatology | Skin and Laser Surgery Center | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 |
| Milagros R Shepard | Physician Assistant | Skin and Laser Surgery Center | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 |
| Janice N Rasmussen | Nurse Practitioner | Skin and Laser Surgery Center | 2200 Opitz Blvd, Suite 100, Woodbridge, VA 22191-3342 |
| Herbert S Golomb | Dermatology | Skin and Laser Surgery Center | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 |
| Street Address |
1359 BEVERLY RD SUITE 200 |
| City | MC LEAN |
| State | VA |
| Zip | 22101-3668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir A Bajoghli | Dermatology | Skin and Laser Surgery Center | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 |
| Milagros R Shepard | Physician Assistant | Skin and Laser Surgery Center | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 |
| Herbert S Golomb | Dermatology | Skin and Laser Surgery Center | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Kang | Diagnostic Radiology | Oroville Hospital | 1021 Broad Branch Ct, Mc Lean, VA 22101-2140 |
| Juliana Geren | Clinical Social Worker | 1358 Kirby Rd, Mc Lean, VA 22101-2409 | |
| Cindy L Bollman | Psychologist, Clinical | 1152 Randolph Rd, Mc Lean, VA 22101-2929 | |
| Shore H Armani | Internal Medicine | 1580 Chain Bridge Rd, Mc Lean, VA 22101-3503 | |
| Daniel P Hockstra | Chiropractic | 1300 Vincent Pl, Mclean, VA 22101-3614 | |
| Kathleen M Salyer | Clinical Psychologist | 6842 Elm St, Mclean, VA 22101-3614 | |
| Burcin U Fraser | Allergy/immunology | Privia Medical Group,llc | 1360 Beverly Rd, Suite 103, Mclean, VA 22101-3621 |
| Genevieve E Clarke | Registered Dietitian Or Nutrition Professional | Nuweights, LLC | 1360 Beverly Rd, Mc Lean, VA 22101-3621 |
| Mary B Warner | Registered Dietitian Or Nutrition Professional | Nuweights, LLC | 1360 Beverly Rd, Mc Lean, VA 22101-3621 |
| Nina M Fisher | Dermatology | Dermatology Associates of Mclean | 1365 Beverly Rd, Fl 2, Mc Lean, VA 22101-3624 |
| Find all physicians in zip 22101 | |||
| City | MC LEAN |
| Zip Code | 22101 |
| Specialty | DERMATOLOGY |
| City + Specialty | MC LEAN + DERMATOLOGY |
Please comment or provide details below to improve the information on Thomas Larry 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.