DR. WILLIAM WARREN SMITH (NPI# 1093759722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093759722 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM WARREN SMITH |
| Credential | MD |
| Practice Address |
4502 Lt Eugene J Majure Dr Pascagoula MS 39581-5305 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2286969224 |
| Practice Fax Number | 2286969228 |
| Mailing Telephone | 2284972757 |
| Mailing Fax Number | 2284978869 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
11086 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 09980325 | 05 | |
| MS | 00116771 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| Street Address |
4502 LT EUGENE J MAJURE DR |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354114 | Michael John Baker | Nurse Practitioner | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2019-06-11 |
| 1114176963 | Donna Maria Lewis | Social Worker | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2008-09-17 |
| 1427219799 | Roger Dale Ridgeway Jr. | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2008-06-19 |
| 1821027368 | John Harold Montgomery | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477869055 | Else Tracy, M.d., Inc. | Psychiatry & Neurology | 5009 Telephone Rd, Pascagoula, MS 39567-1832 | 2010-08-20 |
| 1639246739 | Jeremy Wayne Owens | Psychiatry & Neurology | 4502 Vega St, Pascagoula, MS 39581-5305 | 2006-11-30 |
| 1427219799 | Roger Dale Ridgeway Jr. | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2008-06-19 |
| 1578746384 | William Shelton Pearson | Psychiatry & Neurology | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2007-12-14 |
| 1720277445 | Gulf Coast Psychiatric Care | Psychiatry & Neurology | 421 Delmas Ave, Pascagoula, MS 39567-4136 | 2007-10-18 |
| 1245338441 | Jennifer Anitra Thomas-taylor | Psychiatry & Neurology | 4105 Hospital St, Suite 104, Pascagoula, MS 39581-5312 | 2006-09-20 |
| 1821027368 | John Harold Montgomery | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1235755257 | Integrated Behavioral Health, Pllc | Psychiatry & Neurology | 759 Howard Ave, Biloxi, MS 39530-4305 | 2020-06-25 |
| 1811558802 | K & V Enterprise, Inc | Psychiatry & Neurology | 190 Battery Heights Dr, Columbus, MS 39705-0338 | 2019-06-21 |
| 1245726256 | Amanda Lynn Yount | Psychiatry & Neurology | 5915 Getwell Rd Bldg B, Southaven, MS 38672-6452 | 2018-07-03 |
| 1548754211 | Crystal Willson | Psychiatry & Neurology | 436 N Jackson St, Brookhaven, MS 39601-2938 | 2018-06-18 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1497123343 | Erin Harrell | Psychiatry & Neurology | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2015-09-09 |
| 1871932194 | Saurabh Bipin Bhardwaj | Psychiatry & Neurology | 2500 N State St # H814, Jackson, MS 39216-4500 | 2013-06-19 |
| 1174883821 | Catherine Koontz Rogers | Psychiatry & Neurology | 1716 Government St Ste E, Ocean Springs, MS 39564 | 2012-05-29 |
| 1053625012 | Frankie Edward Stanley | Psychiatry & Neurology | 2497 Wendover Dr, Belden, MS 38826-8629 | 2010-08-02 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.