DR. NATHANIEL EVAN SMITH (NPI# 1174848337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174848337 |
| Entity Type | Individual |
| Full Name | DR. NATHANIEL EVAN SMITH |
| Practice Address |
3551 Roger Brooke Dr Dept Of Fort Sam Houston TX 78234-4504 |
| Mailing Address |
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504 |
| Practice Telephone | 2109161845 |
| Practice Fax Number | 2109163235 |
| Mailing Telephone | 2109161921 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
27673 | NE | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
27673 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Bldg 4554, San Antonio, TX 78236 | 2109161921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033512785 | Nathaniel Lewis Smith | Counselor | 7303 Vail Dr, Amarillo, TX 79118-8259 | 2014-10-08 |
| 1538215637 | Nathaniel David Smith | Counselor | 811 S Central Expressway, Suite 525, Richardson, TX 75080 | 2007-01-25 |
| 1992718415 | Nathaniel Smith | Social Worker | 351 Manville Rd Ste 101, Pleasantville, NY 10570-2166 | 2006-08-14 |
| 1649240912 | Nathaniel H Smith | Internal Medicine | 4815 W. Markham St., Slot 52, Little Rock, AR 72205-3867 | 2006-01-26 |
| 1750947602 | Nathaniel Lamar Smith | Case Manager/Care Coordinator | 431 Mackay Dr, San Bernardino, CA 92408-3222 | 2019-05-16 |
| 1790217974 | Nathaniel Smith V | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2017-03-28 |
| 1790142016 | Nathaniel Smith Jr. | Counselor | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2016-01-16 |
| 1508239187 | Nathaniel Smith | Counselor | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2015-11-04 |
| 1124498829 | Nathaniel Hugh Smith Jr. | Counselor | 263-267 Port Richmond Ave, Staten Island, NY 10302 | 2015-10-07 |
| 1831528504 | Nathaniel Brooks Smith | Social Worker | 1081 Dove Run Rd, Suite 202, Lexington, KY 40502-3584 | 2013-11-04 |
| Street Address |
3551 ROGER BROOKE DR DEPT OF |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098573 | Roberto Victor Hennessy | Emergency Medicine | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | 2005-10-25 |
| 1396227104 | Samuel Williams | Nurse Practitioner | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | 2018-08-29 |
| 1669866513 | Hannah Elisa Valdes | Obstetrics & Gynecology | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | 2015-03-27 |
| 1962817536 | Christopher Neil Belcher | Emergency Medicine | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234 | 2014-06-23 |
| 1588805923 | Neil Thomas Phippen | Obstetrics & Gynecology | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | 2009-03-16 |
| 1033312863 | John Christopher Graybill | Surgery | 3551 Roger Brooke Dr Dept Of, Attention Program Coordinator, Fort Sam Houston, TX 78234-4504 | 2007-06-08 |
| 1851507974 | Heather May Hancock | Surgery | 3551 Roger Brooke Dr Dept Of, Att'n Program Coordinator, Fort Sam Houston, TX 78234-4504 | 2007-05-15 |
| 1851475073 | Samantha Lyn Butler | Pathology | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902308 | Jamie Lynne Lombardo | Pathology | 3551 Roger Brooke Drive Mche-qd, Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504 | 2015-05-20 |
| 1295141794 | Michelle Khieu | Pathology | 3551 Roger Brooke Dr, Jbsa, Fort Sam Houston, TX 78234 | 2014-07-03 |
| 1699118984 | Allen Richard Holmes | Pathology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2013-04-17 |
| 1568722288 | Melissa Vandellen | Pathology | 3551 Roger Brooke Dr., Saushec Cytopathology Fellowship Brooke Army Medical Ce, Fort Sam Houston, TX 78234-6200 | 2012-05-29 |
| 1083935829 | Alan A George | Pathology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-06-16 |
| 1346497682 | Daniel Lee Perrault | Pathology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2008-08-19 |
| 1316157605 | Katherine Michelle Cebe | Pathology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-05-23 |
| 1548381270 | Andrew J Rohrer | Pathology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-04-02 |
| 1114000684 | Jordan Manuel Hall | Pathology | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2006-10-20 |
| 1669462388 | Jason David Kendelhardt | Pathology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2005-10-25 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.