DR. KENDRA M SMITH (NPI# 1083868392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868392 |
| Entity Type | Individual |
| Full Name | DR. KENDRA M SMITH |
| Credential | M.D. |
| Practice Address |
4803 10th Ave Brooklyn NY 11219 |
| Mailing Address |
202 E 13th St 5g New York NY 10003-5686 |
| Practice Telephone | 7182836029 |
| Mailing Telephone | 3153824257 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 257645 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03256695 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267649 | Kendra Beth Smith | Student in an Organized Health Care Education/Training Program | 6 Steele Hollow Rd, Spencer, WV 25276-9113 | 2017-04-03 |
| 1720488638 | Kendra Bailey Smith | Specialist/Technologist | 15 N 1050 W, Kaysville, UT 84037-2483 | 2014-08-27 |
| 1538390067 | Kendra Ann Smith | Psychologist | James Taylor Campus Health Bldg, Cb# 7470, Chapel Hill, NC 27599-7470 | 2009-07-31 |
| 1548871833 | Kendra Smith | Pharmacist | 206 N Main St, Crookston, MN 56716-1743 | 2020-08-11 |
| 1548879067 | Kendra De'von Smith | Advanced Practice Midwife | 1080 Neal St Ste 200, Cookeville, TN 38501-0944 | 2020-07-30 |
| 1154962512 | Kendra Smith | Physical Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2019-10-07 |
| 1740754829 | Kendra Michelle Smith | Nurse Practitioner | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2019-01-11 |
| 1528530854 | Kendra Smith | Behavior Technician | 1021 Springboard Dr, Hershey, PA 17033-8820 | 2018-12-27 |
| 1952873648 | Kendra Lyn Smith | Anesthesiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-19 |
| 1629545074 | Kendra Renee Smith | Social Worker | 50 Lenox Pointe Ne Ste A, Atlanta, GA 30324-3170 | 2018-10-24 |
| Street Address |
4803 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1225501448 | Friendly Urgent Care of Ny Pllc | Emergency Medicine | 1675 59th St, Brooklyn, NY 11204-2130 | 2019-01-10 |
| 1205350485 | Annada K Das M D P C | Emergency Medicine | 2949 Brighton 4th St, Brooklyn, NY 11235-8511 | 2017-07-31 |
| 1134576259 | Eric Roseman | Emergency Medicine | 450 Clarkson Ave, Box 51, Brooklyn, NY 11203-2012 | 2016-05-18 |
| 1376998336 | Neeraj Satyaprakash Chimanji | Emergency Medicine | 273 Leonard St, Apt 1b, Brooklyn, NY 11211-3604 | 2016-04-27 |
| 1043672272 | Gordon Chien | Emergency Medicine | 4821 Fort Hamilton Pkwy, Brooklyn, NY 11219-2937 | 2016-03-26 |
| 1932586021 | Angela S Chen | Emergency Medicine | 90 Pierrepont St, 3a, Brooklyn, NY 11201-2754 | 2015-04-28 |
| 1073990214 | Bojen Roger Chiou | Emergency Medicine | 1133 Manhattan Ave, Apt N532, Brooklyn, NY 11222-1031 | 2015-04-27 |
| 1255735221 | Mark Kreimer | Emergency Medicine | Nyp: Brooklyn Methodist Hospital Department of Em, 506 6th Street, Brooklyn, NY 11215 | 2014-10-20 |
| 1487053336 | Arsalan Azam | Emergency Medicine | 421 Pulaski St, Unit 1, Brooklyn, NY 11221-2310 | 2014-08-16 |
| Find all providers in BROOKLYN | ||||
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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.