ANTOINE LAMONT SMITH SR. (NPI# 1104259522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104259522 |
| Entity Type | Individual |
| Full Name | ANTOINE LAMONT SMITH SR. |
| Credential | HS |
| Practice Address |
1260 Shotgun Rd Chesapeake VA 23322-4512 |
| Practice Telephone | 7574211875 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407087117 | Antoine Terrell Smith | Counselor | 616 Old Bugle Rd, Edmond, OK 73003-6280 | 2009-07-29 |
| Street Address |
1260 SHOTGUN RD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23322-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
| 1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
| 1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
| 1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
| 1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
| 1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
| 1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
| Find all providers in zip 23322 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878365 | Justin Felix | Military Health Care Provider | 4747 W Braddock Rd Apt 3, Alexandria, VA 22311-4722 | 2018-10-24 |
| 1629555792 | Christopher R Bowlds | Military Health Care Provider | 3477 S Utah St, Arlington, VA 22206-1943 | 2018-07-23 |
| 1053809491 | James Miller | Military Health Care Provider | 716 Whisperwood Dr, Newport News, VA 23602-4954 | 2018-05-01 |
| 1225464837 | Stephen Mitchell Harris | Military Health Care Provider | 49 Spruce St, Pcs Box 1000, Langley Afb, VA 23665-2800 | 2013-09-16 |
| 1063851616 | Alina J Elliott | Military Health Care Provider | 119 Kincaid Ln, Hampton, VA 23666-5401 | 2013-06-17 |
| 1821337346 | Stefan Langley | Military Health Care Provider | 212 Apollo Way, Hampton, VA 23665-2492 | 2013-02-04 |
| 1790041192 | Ferdinand Nmi Makabata | Military Health Care Provider | 1406 Hardy Cash Dr, Hampton, VA 23666-2434 | 2012-04-10 |
| 1053688416 | Thomas Garrett Cook | Military Health Care Provider | 384 Watts Ave, Hampton, VA 23665-1822 | 2011-11-29 |
| 1598032955 | Ann Marie Summerrise | Military Health Care Provider | 102 Chippenham Dr Apt H, Yorktown, VA 23693-2843 | 2011-11-29 |
| 1750614723 | Joan A Sanchez | Military Health Care Provider | 1113 Aberdeen Rd, Hampton, VA 23666-4601 | 2009-09-09 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23322 |
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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.