CHARLES SMITH III (NPI# 1023523743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023523743 |
Entity Type | Individual |
Full Name | CHARLES SMITH III |
Credential | EMS |
Practice Address |
220 N Sykes Creek Pkwy Ste 200 Merritt Island FL 32953-3490 |
Practice Telephone | 3214194748 |
Practice Fax Number | 3214194748 |
Mailing Telephone | 3214194748 |
Enumeration Date | 2017-12-04 |
Last Update Date | 2017-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
1912563404 | Charles W Smith | Physical Therapist | 230 Holland Rd, Holland, PA 18966-1702 | 2019-05-10 |
1528527520 | Charles E Smith | Physical Therapist | 4048 Cedar Bluff Dr Ste 2, Petoskey, MI 49770-8895 | 2019-03-19 |
1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
1437651452 | Charles Anthony Smith | Behavior Technician | 8021 36th Ave N, St Petersburg, FL 33710-1011 | 2018-03-06 |
1588189765 | Charles Russell Smith Jr. | Counselor | 152 Dunn Rd, Ashburnham, MA 01430-3043 | 2017-08-08 |
1982145090 | Charles Kershaw Smith | Pharmacist | 803 Brantenburg Way, Lutz, FL 33548-7934 | 2017-03-09 |
1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
1649630633 | Charles Elmore Smith | Counselor | 28 Dalton Pl, Springfield, MA 01109-1611 | 2016-03-03 |
Street Address |
220 N SYKES CREEK PKWY STE 200 |
City | MERRITT ISLAND |
State | FL |
Zip Code | 32953-3490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942816194 | Jill Stutts | Clinic/Center | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2020-09-22 |
1972018604 | Island Bracing, LLC | Durable Medical Equipment & Medical Supplies | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
Find all providers in zip 32953 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265901110 | Elite Care Medical Supplies LLC | Orthotic Fitter | 1890 Kingsley Ave Ste. 114, Orange Park, FL 32073 | 2018-11-21 |
1023444361 | Jay J Rhodes | Orthotic Fitter | 621 Cape Coral Pkwy E, Suite 1, Cape Coral, FL 33904-7515 | 2013-09-18 |
1386906360 | Kyle Smith | Orthotic Fitter | 2401 Executive Plaza Rd, Suite 1, Pensacola, FL 32504-8277 | 2012-06-14 |
1881928331 | Scott Philip Bransdorf | Orthotic Fitter | 1290 N Federal Hwy, Pompano Beach, FL 33062-3705 | 2009-09-30 |
1497939573 | David Rodney Marshall | Orthotic Fitter | 585 State Road 13, Suite 100, Fruit Cove, FL 32259-3175 | 2007-12-24 |
1003036633 | Paul Weiner | Orthotic Fitter | 7036 W Palmetto Park Rd Ste 59, Boca Raton, FL 33433-3404 | 2007-04-26 |
1851427363 | Harris Comfort Shoes Inc | Orthotic Fitter | 406 Via De Palma, Boca Raton, FL 33432 | 2007-02-26 |
1659426187 | A & D Shoes Inc | Orthotic Fitter | 888 Colorado Avenue, Stuart, FL 34994 | 2007-01-24 |
1518016492 | Shepherd Lee Beasley | Orthotic Fitter | 2311 Santa Barbara Blvd, Suite 105, Cape Coral, FL 33991-4394 | 2007-01-09 |
1316000292 | Eliane Cave Armand | Orthotic Fitter | 9010 Sw 137th Avenue, Suite 216, Miami, FL 33186-1438 | 2006-12-19 |
Find all providers with the same taxonomy |
City | MERRITT ISLAND |
Zip Code | 32953 |
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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.