SMITH MEDICAL CLINIC (NPI# 1043684632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043684632 |
| Entity Type | Organization |
| Organization Name | SMITH MEDICAL CLINIC |
| Practice Address |
116 Baskervill Dr Pawleys Island SC 29585-6185 |
| Practice Telephone | 8432372672 |
| Practice Fax Number | 8432370369 |
| Mailing Telephone | 8432372672 |
| Mailing Fax Number | 8432370369 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | MRS. ANNE FAUL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8432372672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
MD22103 | SC | Ambulatory Health Care Facilities |
| Street Address |
116 BASKERVILL DR |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346788825 | John Paul Konsek | Internal Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6185 | 2017-02-06 |
| 1598023376 | Diedrich Collins Waterman | Internal Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6185 | 2012-04-30 |
| 1831392687 | Karyn Jansen Gallagher | Nurse Practitioner | 116 Baskervill Dr, Pawleys Island, SC 29585-6185 | 2007-06-08 |
| 1497899314 | Robert H. Fabrey II | Family Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2007-02-16 |
| 1568506483 | R. Maxie Mccoy | Urology | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2007-02-16 |
| 1992850333 | Mary Kathryn O'neill | Nurse Practitioner | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2007-01-24 |
| 1952419301 | Katherine Close | Internal Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| 1437267879 | Rex Quigley | Anesthesiology | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| 1285742635 | John W. Kramer | Surgery | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| 1073621439 | James P. Hentz | Surgery | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942702659 | Medical Outreach Clinic of Summerville Inc | Clinic/Center | 316 W Carolina Ave, Summerville, SC 29483-4359 | 2018-03-08 |
| 1407213895 | Altruism Home Care | Clinic/Center | 2675 Maidenhair Ln, Sumter, SC 29153-9521 | 2016-01-15 |
| 1316291172 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 200 Elm St E, Hampton, SC 29924-3430 | 2012-11-01 |
| 1598019341 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 776 2nd St E, Estill, SC 29918-4926 | 2012-11-01 |
| 1629322466 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 1520 Grays Hwy, Ridgeland, SC 29936-5440 | 2012-11-01 |
| 1720332794 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 552 Stiney Road, Hardeeville, SC 29927-0369 | 2012-10-30 |
| 1427302470 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 6315 Jonathan Francis Sr. Rd., St. Helena Island, SC 29920-5401 | 2012-10-30 |
| 1801178918 | Community Medicine Foundation | Clinic/Center | 313 Fargo St, Rock Hill, SC 29732-2870 | 2011-09-14 |
| 1013299148 | Community Medicine Foundation | Clinic/Center | 382 Workman St, Rock Hill, SC 29730-6354 | 2011-09-14 |
| 1669676201 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2007-06-14 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.