Kameo Smith (NPI# 1083645881, PAC ID# 7810968427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083645881 |
| PAC ID by PECOS | 7810968427 |
| Professional Enrollment ID | I20071126000149 |
| Full Name | Kameo Smith |
| Organization Legal Name | SOUTHWEST HEALTH SYSTEM INC |
| Address |
111 Railroad Ave Mancos CO 81328-9329 |
| Phone Number | 9705339125 |
| Gender | F |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890699326 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061327 | SOUTHWEST MEMORIAL HOSPITAL |
| 060013 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1311 A N Mildred Rd, Cortez, CO 81321-2231 | 9705658556 | SOUTHWEST HEALTH SYSTEM INC |
| 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 | 9705642681 | SOUTHWEST HEALTH SYSTEM INC |
| 1311 N Mildred Rd, Cortez, CO 81321-2231 | 9705656666 | SOUTHWEST HEALTH SYSTEM INC |
| 111 Railroad Ave, Mancos, CO 81328-9329 | 9705339125 | SOUTHWEST HEALTH SYSTEM INC |
| Organization Legal Name | SOUTHWEST HEALTH SYSTEM INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Gero | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Crysta Jo Jones | Physician Assistant | Southwest Health System Inc | 1413 N Mildred Rd, Cortez, CO 81321-2258 |
| Marcelyn Lepique | Obstetrics/gynecology | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Laura T Medina | General Surgery | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Jonathan Lane Shepard | Physician Assistant | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Teresa S Brown-sanchez | Nurse Practitioner | Southwest Health System Inc | 1413 N Mildred Rd, Cortez, CO 81321-2258 |
| Susan Lou Laningham | Internal Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Jason L Bourland | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Melissa J Churchill | Nurse Practitioner | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Kevin Matteson | General Surgery | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Street Address |
111 RAILROAD AVE |
| City | MANCOS |
| State | CO |
| Zip | 81328-9329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte L Barry | Internal Medicine | Southwest Health System Inc | 111 Railroad Ave, Mancos, CO 81328-9329 |
| Michael A Fitzgerald | Nurse Practitioner | Southwest Health System Inc | 111 Railroad Ave, Mancos, CO 81328-9329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette M Mullikin | Physical Therapy | 121 Railroad Ave, Mancos, CO 81328-9059 |
| City | MANCOS |
| Zip Code | 81328 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANCOS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kameo 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.