Daniel Warren Smith (NPI# 1043653942, PAC ID# 7810139557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1043653942 |
| PAC ID by PECOS | 7810139557 |
| Professional Enrollment ID | I20190729002082 |
| Full Name | Daniel Warren Smith |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Address |
21822 76th Ave W Edmonds WA 98026-7900 |
| Phone Number | 4257757166 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8325100480 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500026 | SWEDISH EDMONDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 21822 76th Ave W, Edmonds, WA 98026-7900 | 4257757166 | PROVIDENCE HEALTH AND SERVICES-WA |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Physicians | 421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasneem Abbas Shikary | Otolaryngology | Providence Health and Services-wa | 1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1676 |
| Nicole Kraker | Nurse Practitioner | Providence Health and Services-wa | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 |
| Crystal L Blankinship | Clinical Social Worker | Providence Health and Services-wa | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1751 |
| Lorena Barajas | Nurse Practitioner | Providence Health and Services-wa | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 |
| Kim Quy V Nguyen | Nurse Practitioner | Providence Health and Services-wa | 19200 N Kelsey St, Monroe, WA 98272-1431 |
| Marianna Baghdasaryan | Nurse Practitioner | Providence Health and Services-wa | 13110 Bothell Everett Hwy, Everett, WA 98208-7202 |
| Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| David Keisho Su | Neurosurgery | Providence Health and Services-wa | 1717 13th St, Suite 401, Everett, WA 98201-1621 |
| David B Shanholtzer | Nurse Practitioner | Providence Health and Services-wa | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 |
| Laura Knapp Knapp | Clinical Social Worker | Providence Health and Services-wa | 1509 California St, Everett, WA 98201-3540 |
| Street Address |
21822 76TH AVE W |
| City | EDMONDS |
| State | WA |
| Zip | 98026-7900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Shick | Physician Assistant | Providence Health and Services-wa | 21822 76th Ave W, Edmonds, WA 98026-7900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry M Hochberg | Family Medicine | 22721 76th Ave W B, Edmonds, WA 98026-3001 | |
| Arun Vijay | Family Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Susan O'brien | Emergency Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Fumi Obuse | Emergency Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Alessa L Lopez-castor | Nurse Practitioner | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Alison K Willam | Emergency Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| James Rankin Thompson | Physical Therapy | Premier Therapy Associates, LLC | 21827 76th Ave W, Suite 101, Edmonds, WA 98026-5141 |
| Debora I Sciscoe | Obstetrics/gynecology | 8426 187th St Sw, Edmonds, WA 98026-5744 | |
| Teresa Haaga | Clinical Social Worker | 7614 195th St Sw, Suite 101, Edmonds, WA 98026-6260 | |
| Jessie Kim-deobald | Gastroenterology | 7614 195th St Sw, Suite 203, Edmonds, WA 98026-6260 | |
| Find all physicians in zip 98026 | |||
| City | EDMONDS |
| Zip Code | 98026 |
| Specialty | UROLOGY |
| City + Specialty | EDMONDS + UROLOGY |
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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.