MR. HERBERT GEORGE SMITH JR. (NPI# 1083939789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083939789 |
| Entity Type | Individual |
| Full Name | MR. HERBERT GEORGE SMITH JR. |
| Credential | L.P.O. |
| Practice Address |
4109 Little Rd Suite 102 Trinity FL 34655-1715 |
| Practice Telephone | 7276456978 |
| Practice Fax Number | 7278073331 |
| Mailing Telephone | 7276456978 |
| Mailing Fax Number | 7278073331 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | POR81 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | POR81 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | M000M | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134538184 | Herbert John Smith | Veterinarian | 934 Blackwells Wharf Rd, Burgess, VA 22432-2112 | 2014-08-04 |
| 1336564780 | Herbert Smith | Secured Medical Transport (VAN) | 2532 W Warren Blvd, Chicago, IL 60612-2124 | 2014-02-21 |
| 1801045653 | Herbert Smith | Licensed Practical Nurse | 5298 Laurel Ave, Pennsauken, NJ 08109-1226 | 2008-09-17 |
| 1366409740 | Herbert Matthew Smith | Family Medicine | 401 W 1st Ave, Kennewick, WA 99336-3926 | 2006-04-28 |
| 1205178779 | Herbert S. Smith | Dentist | 2079 Boston Post Rd, Larchmont, NY 10538-3701 | 2013-03-22 |
| 1558611368 | Herbert Smith | Orthotist | 8800 Bissonnet St, Suite J, Houston, TX 77074-2435 | 2012-09-19 |
| 1568780310 | Herbert Michael Smith | Pharmacist | 8825 34th Ave Ne, Suite A, Tulalip, WA 98271-8085 | 2010-05-04 |
| 1831339605 | Herbert Wendell Smith II | Dentist | 1611 Telegraph Ave, Oakland, CA 94612-2143 | 2009-03-05 |
| 1750321758 | Herbert X Smith | Emergency Medicine | 1559 Sparta St, Mc Minnville, TN 37110-1316 | 2006-06-07 |
| Street Address |
4109 LITTLE RD SUITE 102 |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] 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 |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1588279434 | Kourtney James | Prosthetist | 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 | 2020-09-08 |
| 1750910790 | Gabriela Jamur | Prosthetist | 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 | 2020-04-02 |
| 1013543701 | Kateau Cerisme | Prosthetist | 320 N Magnolia Ave, Orlando, FL 32801-1624 | 2020-03-13 |
| 1780217174 | Amber Baker | Prosthetist | 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 | 2020-02-13 |
| 1992336192 | Antakeisha Lavonte Hepburn | Prosthetist | 2326 Nw 51st St, Miami, FL 33142-3677 | 2020-01-28 |
| 1164067211 | Rayna K Bradley | Prosthetist | 148 Lake Ave, Maitland, FL 32751-6424 | 2019-11-13 |
| 1376001982 | Kerryann Williams | Prosthetist | 6515 Nw 1st St, Margate, FL 33063-5101 | 2019-03-04 |
| 1528526126 | Latoya Patrick | Prosthetist | 11361 Sheffield Rd, Spring Hill, FL 34608-2260 | 2019-03-04 |
| 1275091878 | Debbie Denizard | Prosthetist | 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
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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.