DR. GREGG LEWIS SMITH (NPI# 1174628804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174628804 |
| Entity Type | Individual |
| Full Name | DR. GREGG LEWIS SMITH |
| Credential | MD |
| Practice Address |
550 E Washington Blvd Suite 100 Crescent City CA 95531-8160 |
| Mailing Address |
852 W Highpoint Dr Claremont CA 91711-1543 |
| Practice Telephone | 7078268633 |
| Mailing Telephone | 9096244421 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G075567 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558808 | Gregg Michael Smith | Pharmacist | 4 Neshaminy Interplex Dr, Suite 111, Trevose, PA 19053-6944 | 2011-12-05 |
| 1073591277 | Gregg W. Smith | Dentist | 2186 N Hospital Blvd Ste 1, Sullivan, IN 47882-7654 | 2006-01-06 |
| 1003803925 | Gregg Alan Smith | Internal Medicine | 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205-5398 | 2005-10-05 |
| 1770575250 | Gregg A Smith | Dentist | 3912 E 31st Pl, Tulsa, OK 74135-1630 | 2005-08-19 |
| 1487816658 | Gregg T Smith | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-2704 | 2008-06-30 |
| 1518096734 | Gregg Leslie Smith | Dentist | 1301 Main St, Asbury Park, NJ 07712-5359 | 2007-03-05 |
| Street Address |
550 E WASHINGTON BLVD SUITE 100 |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176589 | Frederick Mayer | Podiatrist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2005-07-07 |
| 1538634423 | Thomas B. Kelem | Marriage & Family Therapist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-10-08 |
| 1316435050 | Susan Waddell | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-04-27 |
| 1609372721 | Heather J Payne | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-04-05 |
| 1700393998 | Sandy Gail Penner | Dental Hygienist | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2018-01-09 |
| 1033620315 | Daniel Richard Lefler | Physician Assistant | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2017-10-13 |
| 1851828966 | Kay Vail | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2017-05-19 |
| 1356885446 | Denise Byassee Jeffrey | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-12-08 |
| 1033660626 | Heather Naomi Gail Hogan | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-10-18 |
| 1427503796 | Melody Pope | Nurse Practitioner | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2016-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072571 | Redwood Focused Care Clinics | Internal Medicine | 286 M St Ste B, Crescent City, CA 95531-4115 | 2020-01-16 |
| 1962592907 | Moustafa M Eldick | Internal Medicine | 899 N Summit St, Crescent City, FL 32112-2109 | 2006-10-13 |
| 1386665891 | Craig Edward Swanson | Internal Medicine | 830 Wendell St, Crescent City, CA 95531-3653 | 2006-07-21 |
| 1073511796 | Matthew Charles Blundell | Internal Medicine | 1771 Northcrest Dr, Crescent City, CA 95531-8922 | 2005-07-07 |
| 1780053033 | Martin Kernberg Md Inc | Internal Medicine | 1225 Marshall St, Ste 18, Crescent City, CA 95531-2281 | 2015-09-16 |
| 1780099127 | Ashkan Samie | Internal Medicine | 800 E Washington Blvd, Crescent City, CA 95531-8359 | 2014-06-24 |
| 1730446246 | Kathleen Torres | Internal Medicine | 800 E Washington Blvd, Crescent City, CA 95531-8359 | 2012-04-20 |
| 1386873875 | Matthew J Butts | Internal Medicine | 1675 Northcrest Dr, Crescent City, CA 95531-8928 | 2009-07-07 |
| 1427238468 | Community Rural Health Inc | Internal Medicine | 899 N Summit St, Crescent City, FL 32112-2109 | 2007-11-07 |
| 1881613396 | Vicki R Gordon | Internal Medicine | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2006-07-18 |
| Find all providers in CRESCENT CITY | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
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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.