DR. WAYNE E SMITH (NPI# 1164404497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164404497 |
Entity Type | Individual |
Full Name | DR. WAYNE E SMITH |
Credential | M.D.,P.C. |
Practice Address |
5333 S Adams Ave Parkway Suite C Washington Terrace UT 84405-6946 |
Practice Telephone | 8014796200 |
Practice Fax Number | 8014791698 |
Mailing Telephone | 8014796200 |
Mailing Fax Number | 8014791698 |
Enumeration Date | 2005-11-14 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
1592738905 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437644689 | Wayne Randolph Smith | Technician, Pathology | 1615 Hill Rd Ste C, Novato, CA 94947-4338 | 2018-06-28 |
1346797461 | Wayne Allen Roberto Smith | Counselor | 1601 East 4th Plain Blvd, Lifeline Connections, Vancouver, WA 98661 | 2016-09-07 |
1578980983 | Wayne Maurice Smith | General Practice | 60 Ne Summit Rd., Chehalis, WA 98532 | 2014-03-24 |
1447581392 | Wayne R. Smith | Dentist | 656 N. Wellwood Ave, Louis Lasky Memorial Medical & Dental Center, Lindenhurst, NY 11757 | 2010-01-15 |
1609055607 | Wayne Christopher Smith | Chiropractor | 229 20th St, Apt.c, San Diego, CA 92102-3845 | 2007-10-26 |
1043435654 | Wayne Lee Smith | Hearing Instrument Specialist | 410 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3534 | 2007-04-17 |
1679643530 | Wayne S Smith | Chiropractor | 1211 N 20th Ave, Pasco, WA 99301 | 2006-11-08 |
1205842101 | Wayne Smith | Family Medicine | 3210 Eagle Run Dr Ne Ste 100, Grand Rapids, MI 49525-7051 | 2006-07-31 |
1003848631 | Wayne Douglas Smith | Physical Therapist | 55 Sheridan Circle, Suite A, Bluffton, SC 29910-6025 | 2006-07-06 |
1750343992 | Wayne Graham Smith | Chiropractor | 158 Lake St, Saint Albans, VT 05478-2278 | 2006-04-04 |
Street Address |
5333 S ADAMS AVE PARKWAY SUITE C |
City | WASHINGTON TERRACE |
State | UT |
Zip Code | 84405-6946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
Find all providers in zip 84405 |
Taxonomy Code | 207ZD0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Dermatopathology |
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891951091 | J Manuel Zarandona | Pathology | 5121 Cottonwood St, Intermountain Medical Center Dept. of Pathology, Murray, UT 84107-5701 | 2008-08-06 |
1548308067 | Skin Pathology Consultants of Utah | Pathology | 168 E 5900 S, Ste C104, Murray, UT 84107-7287 | 2007-02-05 |
City | WASHINGTON TERRACE |
Zip Code | 84405 |
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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.