STANLEY R SMITH (NPI# 1003802968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003802968 |
| Entity Type | Individual |
| Full Name | STANLEY R SMITH |
| Credential | MD |
| Practice Address |
1000 Ainsworth Dr Suite 115 Prescott AZ 86305-1667 |
| Practice Telephone | 9287781971 |
| Practice Fax Number | 9284438473 |
| Mailing Telephone | 9287781971 |
| Mailing Fax Number | 9284438473 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 34173 | AZ | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34173 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 907925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141747 | Stanley Eugene Smith | Nurse Practitioner | 13301 N Meridian Ave Ste 101, Oklahoma City, OK 73120-8357 | 2019-02-26 |
| 1396971180 | Stanley George Smith | Counselor | 1015 Terminal Dr, N/a, Moselle, MS 39459-9546 | 2009-06-07 |
| 1366576068 | Stanley Thomas Smith | Dentist | 3609 Georgia Avenue Nw, Suite 3, Washington, DC 20010-1634 | 2007-03-15 |
| 1164551073 | Stanley David Smith | Specialist/Technologist | 700 Percy St, S Williamsport, PA 17702-7522 | 2007-03-05 |
| 1861520231 | Stanley Smith Sr. | Pharmacist | 83074 Hwy 9, Ashland, AL 36251 | 2007-02-28 |
| 1811033004 | Stanley Montgomery Smith | Dentist | 3109 South 27th Street, Abilene, TX 79605-6239 | 2007-01-29 |
| 1023169687 | Stanley R Smith | Optometrist | 580 N Meridian Rd, Kalispell, MT 59901 | 2007-01-12 |
| 1750488102 | Stanley Warren Smith | Dentist | 5 The Serpentine, New Rochelle, NY 10801-3512 | 2006-09-20 |
| 1639272537 | Stanley T Smith Jr. | Internal Medicine | 465 N Belair Rd Ste 2b, Evans, GA 30809-3190 | 2006-09-06 |
| 1851326953 | Stanley A Smith | Chiropractor | 8421 Auburn Blvd Ste #105, Citrus Hts., CA 95610-0399 | 2006-07-11 |
| Street Address |
1000 AINSWORTH DR SUITE 115 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428254 | Brian D Kimball | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-23 |
| 1679505812 | Michele M Peters Fnp | Clinic/Center | 1000 Ainsworth Dr, Ste A220, Prescott, AZ 86305-1645 | 2006-07-07 |
| 1487640447 | Brent E Johnson | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-26 |
| 1750377610 | Robert T Barry | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-26 |
| 1669468526 | Michael J D'angelo | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-26 |
| 1396731352 | Warren G Goodman | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-26 |
| 1528054517 | David R Amstutz | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-23 |
| 1164418158 | Matthew R Dicker | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689239824 | Thumb Butte Radiology, LLC | Radiology | 3120 Willow Creek Rd, Prescott, AZ 86301-6699 | 2019-05-02 |
| 1588961585 | Bruce Medford Burtan | Radiology | 2097 Summer Breeze Dr, Prescott, AZ 86303-7412 | 2011-02-28 |
| 1679511356 | Karen Stark Caldemeyer | Radiology | 9925 N Clear Fork Rd, Prescott, AZ 86305-9016 | 2006-06-03 |
| 1932171618 | David K Lloyd | Radiology | 1000 Ainsworth Dr Ste 115, Prescott, AZ 86305-1667 | 2006-02-06 |
| 1225019425 | Timothy D Olthoff | Radiology | 810 Whipple St, Prescott, AZ 86301-1606 | 2005-11-07 |
| 1669476123 | Karl Theodore Wickstrom | Radiology | 790 Gail Gardner Way, Prescott, AZ 86305-2337 | 2005-06-10 |
| 1609960707 | Mary M Poncel | Radiology | 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-10-03 |
| 1235236589 | Bernard Sakowicz | Radiology | 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 | 2006-09-20 |
| 1962418863 | Richard Wallace Vanbuskirk Sr. | Radiology | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-07-31 |
| 1427006253 | Medwise PC | Radiology | 790 Gail Gardner Way, Prescott, AZ 86305-2337 | 2006-05-04 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.