DR. NEIL SMITH (NPI# 1104807981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104807981 |
| Entity Type | Individual |
| Full Name | DR. NEIL SMITH |
| Credential | M.D. |
| Practice Address |
215 Rockaway Tpke Lawrence NY 11559-1216 |
| Practice Telephone | 5163745024 |
| Practice Fax Number | 5163745816 |
| Mailing Telephone | 5163745024 |
| Mailing Fax Number | 5163745816 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 211510 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02097703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1497814982 | Neil D Smith | Physician Assistant | 13631 Colorado Blvd, Thornton, CO 80602-7051 | 2006-12-08 |
| 1184603870 | Neil Walter Smith | Psychologist | 171 W 23rd St, Suite 2c, New York, NY 10011-2496 | 2006-01-11 |
| 1033109624 | Neil D. Smith | Internal Medicine | 823 Commercial St, Rockport, ME 04856-4243 | 2005-10-25 |
| 1366807521 | Neil Robert Smith | Physical Therapy Assistant | 1 Emily Way, West Hartford, CT 06107-3136 | 2015-12-15 |
| 1326473935 | Neil Smith | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2013-09-13 |
| 1528301272 | Neil Smith | Pharmacist | 4920 Campbell Blvd, Nottingham, MD 21236-5916 | 2013-04-01 |
| 1265583108 | Neil A Smith | Specialist | 616 Willow Grove St, Hackettstown, NJ 07840-1779 | 2007-01-16 |
| 1578628053 | Neil Andrew Smith | Psychiatry & Neurology | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-12-26 |
| 1861594038 | Neil P Smith | Internal Medicine | 20455 Lorain Rd, Suite 104, Fairview Park, OH 44126-3494 | 2006-09-01 |
| Street Address |
215 ROCKAWAY TPKE |
| City | LAWRENCE |
| State | NY |
| Zip Code | 11559-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766970 | Roman Koldayev | Internal Medicine | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2005-11-07 |
| 1285284455 | Caitlin M. Dorn | Social Worker | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2019-09-18 |
| 1447636253 | Matteo Spera | Family Medicine | 215 Rockaway Tpke, Lawrence, NY 11559 | 2015-08-04 |
| 1558604223 | Marsha A Niles | Nurse Practitioner | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2013-04-01 |
| 1295013134 | Audrey Sansculotte | Nurse Practitioner | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2011-07-26 |
| 1922332030 | Iquinder Pal-kaur Singh | Family Medicine | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2009-09-22 |
| 1598997488 | Joseph T Miccoli | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2009-08-11 |
| 1538311279 | Ruth E Schap | Nurse Practitioner | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2008-10-14 |
| 1285805077 | Biana Miller | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2008-03-19 |
| 1275712226 | Philip Lowenstein | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310362 | Marlee Katz | Specialist | 26 Sealy Dr, Lawrence, NY 11559 | 2019-01-13 |
| 1184000374 | Rebecca Beiss | Speech-Language Pathologist | 40 Stevens Place, Lawrence, NY 11559 | 2015-08-11 |
| 1114268620 | Gegendeep Kaur Chawla | Occupational Therapist | 219 Spring St, Lawrence, NY 11559 | 2013-03-07 |
| 1972872810 | Esther P Adler | Occupational Therapist | 227 Juniper Cir S, Lawrence, NY 11559 | 2011-12-21 |
| 1790068229 | Elisheva Listhaus | Speech-Language Pathologist | 70 Causeway, Lawrence, NY 11559 | 2011-09-21 |
| 1073803367 | Michele Golub Seelenfreund | Occupational Therapist | 15 Sealy Drive, Lawrence, NY 11559 | 2011-04-08 |
| 1306153804 | Benjamin Z. Weiss | Psychologist | 360 Central Avenue-suite 110, Suite 110, Lawrence, NY 11559 | 2010-09-03 |
| 1497900203 | Sharon Miriam Moerman | Speech-Language Pathologist | 240 Juniper Circle East, Lawrence, NY 11559 | 2008-11-20 |
| 1134376569 | Shifra Eisig | Dietitian, Registered | 43 Herrick Drive, Lawrence, NY 11559 | 2008-08-27 |
| 1710102306 | Mark Billet | Dentist | 290 Central Avenue, 208, Lawrence, NY 11559 | 2007-04-17 |
| Find all providers in zip 11559 | ||||
| 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 |
|---|---|---|---|---|
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1871932921 | Ashley Elizabeth Bloom | Family Medicine | 3510 Clinton Pkwy Ste 210, Lawrence, KS 66047-2145 | 2013-06-21 |
| 1437597630 | Phillip Andrew Godwin | Family Medicine | 603 Ohio St, Lawrence, KS 66044-2357 | 2013-06-10 |
| 1215254420 | Kathryn Elizabeth Lynch | Family Medicine | 5241 Carson Pl, Lawrence, KS 66049 | 2010-04-27 |
| 1306082102 | Alan L. Cowles | Family Medicine | 1121 Stoneridge Dr, Lawrence, KS 66049-4772 | 2008-12-29 |
| 1558539072 | 5 Towns Family Medical Care | Family Medicine | 275a Rockaway Tpke, Lawrence, NY 11559-1232 | 2008-02-19 |
| 1881881340 | Thomas J. Joyce, D.o., LLC | Family Medicine | 33 Frost Ln, Lawrence, NY 11559-1808 | 2007-09-28 |
| Find all providers in LAWRENCE | ||||
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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.