DR. RYAN ALEXANDER SMITH (NPI# 1104317262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104317262 |
| Entity Type | Individual |
| Full Name | DR. RYAN ALEXANDER SMITH |
| Credential | M.D. |
| Practice Address |
11301 Wilshire Blvd Ofc Va Los Angeles CA 90073-1003 |
| Mailing Address |
11301 Wilshire Blvd # 117 Los Angeles CA 90073-1003 |
| Practice Telephone | 3104783711 |
| Mailing Telephone | 3104783711 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R76953 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 N Campbell Ave Rm 4334, Tucson, AZ 857240001 | 5206267747 | 5206262247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754795 | Ryan David Smith | Dentist | Bldg 4681 Logistics Ave, Fort Bragg, NC 28310-0001 | 2019-05-07 |
| 1225599533 | Ryan Philip Smith | Student in an Organized Health Care Education/Training Program | 501 E 91st St, Kansas City, MO 64131-2931 | 2019-03-28 |
| 1265955942 | Ryan Michael Smith | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2017-07-25 |
| 1164950481 | Ryan Kenneth Smith | Family Medicine | 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 | 2017-05-31 |
| 1063948545 | Ryan C Smith | Marriage & Family Therapist | 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 | 2017-05-03 |
| 1346787942 | Ryan Smith | Behavioral Analyst | 3251 Nebraska St, Longview, WA 98632-4228 | 2017-01-21 |
| 1235587346 | Ryan Michael Smith | Physical Therapist | 98 Brickel St, Columbus, OH 43215-1506 | 2016-05-31 |
| 1528439734 | Ryan Smith | Physical Therapist | 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 | 2015-10-14 |
| 1669849618 | Ryan G Smith | Social Worker | 617 S 700 W, Hurricane, UT 84737-2429 | 2015-08-25 |
| 1528343118 | Ryan Michael Smith | Pharmacist | 1290 North State Road 135, Greenwood, IN 46142 | 2011-10-15 |
| Street Address |
11301 WILSHIRE BLVD OFC VA |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90073-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
| 1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
| 1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
| 1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
| 1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
| 1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
| Find all providers in zip 90073 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720097 | Sergey Lyass Md Surgical | Surgery | 8631 W 3rd St # S900e, Los Angeles, CA 90048-5901 | 2019-09-26 |
| 1699215327 | La Surgical Specialists | Surgery | 450 N Greencraig Rd, Los Angeles, CA 90049-2840 | 2017-02-28 |
| 1245681543 | Cina Surgery | Surgery | 3756 Santa Rosalia Dr Ste C100, Los Angeles, CA 90008-3606 | 2016-06-28 |
| 1548622194 | Blair Smart | Surgery | Usc General Surgery Residency Program, 1520 San Pablo Street, Los Angeles, CA 90033-5330 | 2016-03-23 |
| 1053783258 | Michael F. Sedrak, M.d., A Medical Corporation | Surgery | 10336 Wilshire Blvd Apt 602, Los Angeles, CA 90024-4754 | 2015-10-27 |
| 1558737312 | Gene Kyu Lee | Surgery | 1520 San Pablo Street, Hct 4300, Los Angeles, CA 90033 | 2015-08-17 |
| 1851779052 | Michael Fenlon | Surgery | 1520 San Pablo St # 3400, Los Angeles, CA 90033-5310 | 2015-05-08 |
| 1588062566 | Moon Ip | Surgery | 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902 | 2014-12-08 |
| 1629488416 | Cassra Nouri Arbabi | Surgery | 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048 | 2014-05-01 |
| 1538506704 | Teodor Polak | Surgery | 508 Tuallitan Rd., Los Angeles, CA 90049 | 2013-05-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90073 |
Please comment or provide details below to improve the information on DR. RYAN ALEXANDER 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.