CLIFFORD C SMITH III (NPI# 1093120933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093120933 |
| Entity Type | Individual |
| Full Name | CLIFFORD C SMITH III |
| Credential | DO |
| Practice Address |
44 Water St Owingsville KY 40360-8944 |
| Mailing Address |
236 W Main St Mount Sterling KY 40353-1348 |
| Practice Telephone | 6066749708 |
| Mailing Telephone | 8594047686 |
| Mailing Fax Number | 8592744459 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04144 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TP941 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100464740 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 209 N Maysville St Ste 200, Mt Sterling, KY 403531179 | 8594047686 | 8594988160 |
| 2420 Argillite Rd, Flatwoods, KY 411391972 | 6068363900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376862003 | Clifford W Smith | Nurse Practitioner | 200 Delafield Rd Ste 4010, Pittsburgh, PA 15215-3235 | 2010-05-20 |
| 1801800271 | Clifford Cornelius Smith II | Chiropractor | 389 Glenn Ave, West Liberty, KY 41472-1119 | 2006-07-28 |
| 1801319082 | Clifford K Smith IIi | Physical Therapist | 316 E Mcleod Rd Ste 101, Bellingham, WA 98226-6491 | 2017-07-19 |
| 1942418983 | Clifford A. Smith | Clinical Neuropsychologist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2007-05-21 |
| 1790801744 | Clifford O. Smith | Psychologist | 3608 Lancaster Pike, Wilmington, DE 19805-1509 | 2007-03-21 |
| 1801987169 | Clifford Lawrence Smith | Surgery | 12720 Mcmanus Blvd, Suite 305, Newport News, VA 23602-4414 | 2006-09-28 |
| 1275512956 | Clifford Randy Smith | Radiology | 1230 Baxter St, Athens, GA 30606 | 2006-01-11 |
| Street Address |
44 WATER ST |
| City | OWINGSVILLE |
| State | KY |
| Zip Code | 40360-8944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710027701 | Gateway Regional Health Systems Inc | Internal Medicine | 44 Water St, Owingsville, KY 40360 | 2007-02-07 |
| 1134753726 | Sterling Health Solutions Inc | Pharmacy | 44 Water St, Owingsville, KY 40360-8944 | 2020-02-24 |
| 1780046011 | Sterling Health Solutions Inc | Clinic/Center | 44 Water St, Owingsville, KY 40360-8944 | 2016-03-25 |
| 1740681766 | Melissa Adams | Nurse Practitioner | 44 Water St, Owingsville, KY 40360-8944 | 2014-09-09 |
| 1144633405 | Kentuckyone Health Medical Group, Inc. | Clinic/Center | 44 Water St, Owingsville, KY 40360-8944 | 2014-06-04 |
| 1215353081 | Kim Renee Pulliam | Social Worker | 44 Water St, Owingsville, KY 40360-8944 | 2014-03-17 |
| 1659662450 | Saint Joseph Health System, Inc | Clinic/Center | 44 Water St, Owingsville, KY 40360 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
| 1811246143 | Jessica Sue Lykins | Nurse Practitioner | 42 Treadway Dr, Gudgell Ave, Owingsville, KY 40360 | 2012-08-31 |
| 1265709497 | Jason D Mckenzie | Nurse Practitioner | 42 Treadway Drive, Owingsville, KY 40360 | 2011-11-16 |
| 1528358298 | Handsbath | Public Health or Welfare | 68 Oberline St., Owingsville, KY 40360 | 2011-04-14 |
| 1093950800 | Kathy Moore Carter | Occupational Therapist | 406 Wyoming Rd, Owingsville, KY 40360 | 2008-12-08 |
| 1114131844 | First Steps | Public Health or Welfare | 39 Cedar Creek, Owingsville, KY 40360 | 2007-05-10 |
| 1750413035 | Bath County High School | Public Health or Welfare | 645 Chenault Dr, Owingsville, KY 40360 | 2007-03-12 |
| 1740312065 | Owingsville Elementary | Public Health or Welfare | 50 Chanault Drive, Owingsville, KY 40360 | 2007-03-12 |
| 1114059029 | Gateway District Health Department | Clinic/Center | 68 Oberline Street, Owingsville, KY 40360 | 2007-03-09 |
| 1003983271 | Larry Eugene Hamlin | Dentist | 135 Suddith Street, Owingsville, KY 40360 | 2006-11-30 |
| Find all providers in zip 40360 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114345857 | Sherri Duncan | Family Medicine | 406 Wyoming Rd, Owingsville, KY 40360-8906 | 2014-03-31 |
| 1518302892 | Community Family Clinic Pllc | Family Medicine | 17 Miller Drive, Owingsville, KY 40360-2212 | 2013-05-01 |
| 1699919761 | Raymond Wendell Watters | Family Medicine | 632 Slate Ave, Owingsville, KY 40360-2206 | 2009-04-20 |
| 1881782167 | Jonelle Edna Delawrence | Family Medicine | 632 Slate Ave, Owingsville, KY 40360-2206 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | OWINGSVILLE |
| Zip Code | 40360 |
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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.