ALEXIS DEANA SMITH (NPI# 1093974974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093974974 |
| Entity Type | Individual |
| Full Name | ALEXIS DEANA SMITH |
| Credential | MD |
| Practice Address |
593 Eddy St Providence RI 02903-4923 |
| Practice Telephone | 4014448579 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD15118 | RI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333530 | Alexis Marie Smith | Counselor | 405 S Ruess Rd Apt C, Owosso, MI 48867-9397 | 2019-12-12 |
| 1740770627 | Alexis Leaann Smith | Behavior Technician | 1100 Nw Arlington Pl Apt 8, Blue Springs, MO 64015-2689 | 2018-05-16 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1922470350 | Alexis Smith | Chiropractor | 1927 Highway 138 Ne Ste 500, Conyers, GA 30013-1254 | 2015-10-26 |
| 1922356278 | Alexis Smith | Naturopath | 3278 Folsom St, Boulder, CO 80304-2411 | 2012-08-16 |
| 1235428103 | Alexis Christine Smith | Internal Medicine | 10030 Gilead Rd Ste 300, Huntersville, NC 28078-7545 | 2011-03-31 |
| 1417128380 | Alexis Marie Smith | Radiology | 7177 Struthers Rd, Youngstown, OH 44514-2270 | 2008-03-18 |
| 1063693109 | Alexis Laverne Smith | Nurse Practitioner | 11840 Southmore Drive, Charlotte, NC 28277-4821 | 2007-11-16 |
| 1316545205 | Alexis Smith | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2020-10-13 |
| 1104437581 | Alexis Nicole Smith | Speech-Language Pathologist | 4055 Johns Creek Pkwy Ste A, Suwanee, GA 30024-1299 | 2020-08-11 |
| Street Address |
593 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
| 1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
| 1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
| 1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881715944 | Elizabeth J Renaud | Surgery | 2 Dudley St Ste 190, Providence, RI 02905-3248 | 2007-04-03 |
| 1316944127 | Arlet G. Kurkchubasche | Surgery | 2 Dudley Street, Suite 190, Providence, RI 02905 | 2005-07-07 |
| 1417277161 | Julie Monteagudo | Surgery | 2 Dudley St Ste 190, Providence, RI 02905-3248 | 2010-06-04 |
| 1356673271 | Joshua Nathanael Honeyman | Surgery | 2 Dudley St Ste 190, Providence, RI 02905 | 2010-02-02 |
| 1720060726 | Christopher S Muratore | Surgery | 2 Dudley St, Suite 190, Providence, RI 02905-3236 | 2005-11-16 |
| 1124025937 | Francois I Luks | Surgery | 2 Dudley St, Suite 190, Providence, RI 02905-3236 | 2005-07-07 |
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on ALEXIS DEANA SMITH.
| 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.