BLAIRE SMITH (NPI# 1083147375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083147375 |
| Entity Type | Individual |
| Full Name | BLAIRE SMITH |
| Other Name | BLAIRE WILLIAMS |
| Credential | D.O. |
| Practice Address |
12 Kanawha Ter Saint Albans WV 25177-2750 |
| Mailing Address |
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 |
| Practice Telephone | 3042011130 |
| Practice Fax Number | 3042011134 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3042015019 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 3585 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Kanawha Ter, Saint Albans, WV 251772750 | 3042011130 | 3042011134 |
| 1700 Center St, Cweb 1, Room 1538, Mobile, AL 366043301 | 2514343915 | 2514151387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136600 | Blaire Crabtree Smith | Nurse Practitioner | 1010 Christine Ave, Anniston, AL 36207-5782 | 2019-04-16 |
| 1255715264 | Blaire Smith | Social Worker | 6 Kimball Ln, Lynnfield, MA 01940-2682 | 2015-07-20 |
| Street Address |
12 KANAWHA TER |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326001801 | Kimberly T. Lough | Dentist | 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 | 2006-04-07 |
| 1356748404 | Sarah Smith | Counselor | 12 Kanawha Ter, Saint Albans, WV 25177 | 2014-12-04 |
| 1497195374 | Rita Ramesh Patel | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2013-06-25 |
| 1215284492 | Jennifer Lynn Ranson | Nurse Practitioner | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2012-08-07 |
| 1902166945 | Womencare Inc | Clinic/Center | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2012-05-24 |
| 1790087187 | Bernard Dean Grose II | Physician Assistant | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2010-11-17 |
| 1770727836 | Shannon Leigh Carpenter | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177 | 2009-04-20 |
| 1922241520 | John Kent Jackfert | Dentist | 12 Kanawha Ter, Suite B, Saint Albans, WV 25177-2750 | 2009-04-13 |
| 1528208774 | Lucy Kara Shamblin | Family Medicine | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2009-03-01 |
| 1740476357 | Erica R Frye | Physician Assistant | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2007-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140889 | Northwestern Medical Center, Inc. | Pediatrics | 133 Fairfield St Ste 103a, Saint Albans, VT 05478-1726 | 2020-10-07 |
| 1437634359 | Northwestern Medical Center, Inc. | Pediatrics | 71 S Main St, Saint Albans, VT 05478-2274 | 2018-09-26 |
| 1588039176 | Northwestern Medical Center, Inc. | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2015-12-08 |
| 1982946661 | Jennifer Marie Covino | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2013-03-20 |
| 1104056514 | Stacy C Strouse | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2009-07-20 |
| 1013050723 | Franklin County Pediatrics | Pediatrics | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404395 | Williamson Health & Wellness Center, Inc | Pediatrics | 859 Alderson St Ste 4000, Williamson, WV 25661-3215 | 2020-10-16 |
| 1770127516 | Nicole Danielle Clendenin | Pediatrics | 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1447645007 | Jordan Beckett | Pediatrics | 414 Grand Park Dr Ste 1, Parkersburg, WV 26105-4065 | 2015-03-31 |
| 1235489931 | Spring Mills Medical Center | Pediatrics | 1179 T J Jackson Dr, Falling Waters, WV 25419-4698 | 2012-09-11 |
| 1982963278 | Lauren M Thompson | Pediatrics | 179 Station Pl, Suite 200, Hurricane, WV 25526-6578 | 2012-05-08 |
| 1215203500 | Valley Health Systems, Inc. | Pediatrics | 5b Rr 2, Poca, WV 25159-9601 | 2012-03-30 |
| 1609142983 | Valley Health Systems, Inc. | Pediatrics | 2550 Us Route 60, Hurricane, WV 25526-9436 | 2012-03-30 |
| 1154697431 | Valley Health Systems, Inc. | Pediatrics | 1246 Mcclellan Hwy, Harts, WV 25524 | 2012-03-30 |
| 1124303151 | Samuel P Rojas Md Inc | Pediatrics | 143 1/2 Stollings Ave, Logan, WV 25601-4010 | 2011-10-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 25177 |
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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.