RICHARD D SMITH (NPI# 1215993993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215993993 |
| Entity Type | Individual |
| Full Name | RICHARD D SMITH |
| Credential | MD |
| Practice Address |
320 Pomfret St Putnam CT 06260-1836 |
| Practice Telephone | 8609636390 |
| Practice Fax Number | 8609636343 |
| Mailing Telephone | 8609636390 |
| Mailing Fax Number | 8609636343 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
XS49444486 | MA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 045662 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD7534 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7001347 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1922627439 | Richard David James Smith | Student in an Organized Health Care Education/Training Program | 20 Chapel St Apt B306, Brookline, MA 02446-7469 | 2020-04-14 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1619300035 | Richard E. Smith | Dentist | 66 Landers Ln, Troutville, VA 24175-7234 | 2013-08-21 |
| 1063766178 | Richard Eugene Smith | Specialist | 7162 Axis Ct, Fort Worth, TX 76132-3573 | 2012-10-29 |
| 1215225222 | Richard Smith | Rehabilitation Practitioner | 10151 Dorrell Ln Unit 3065, Las Vegas, NV 89166-1052 | 2011-07-12 |
| 1922392984 | Richard John Smith | Pharmacist | 83 Hospital St, Augusta, ME 04330-6617 | 2011-06-07 |
| 1992008114 | Richard Shay Smith | Physical Therapist | 916 E Highway 377, Granbury, TX 76048-1400 | 2010-12-09 |
| 1891096707 | Richard Bruce Smith | Pharmacist | 152 Roosevelt Ave. E., Enumclaw, WA 98022-8246 | 2010-11-09 |
| 1699903641 | Richard A Smith | Psychiatry & Neurology | 6301 Memorial Hwy Ste 303, Tampa, FL 33615 | 2009-06-29 |
| Street Address |
320 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940271 | Marc B Cerrone | Pediatrics | 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | 2005-08-26 |
| 1265065551 | Vanmaly P. Sangasy | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2020-02-15 |
| 1952942310 | Jeremy Tyler Rockwell | Registered Nurse | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-10-07 |
| 1215588355 | Caitlyn Allyssa Sward | Dietitian, Registered | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-09-20 |
| 1164082301 | Julie Van Saun | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-06-19 |
| 1487127171 | Hartford Orthopedic Surgeons,pc | Durable Medical Equipment & Medical Supplies | 320 Pomfret St, Putnam, CT 06260-1836 | 2019-01-07 |
| 1518434422 | Betsy Alvarado | Physician Assistant | 320 Pomfret St, Putnam, CT 06260-1836 | 2018-10-29 |
| 1831601848 | Robyn A Martin | Obstetrics & Gynecology | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-10-31 |
| 1922529098 | Raphaella Daggett | Nurse Practitioner | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-06-29 |
| 1770010399 | Gurkirat Singh Sandhu | Internal Medicine | 320 Pomfret St, Putnam, CT 06260-1836 | 2017-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940271 | Marc B Cerrone | Pediatrics | 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | 2005-08-26 |
| 1801349931 | Ana Mafalda Andrade Tudela Martins | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2016-07-25 |
| 1609052521 | Marjorie Corker-holzer | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2008-01-10 |
| 1205801602 | Garfield W Danenhower | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2006-02-20 |
| 1902871304 | Krista E Matsen | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2006-02-20 |
| 1619966959 | James V Mcdonald | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2005-10-19 |
| 1013905363 | Suzanne M Powell | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2005-10-11 |
| 1225026701 | Bronson E Terry | Pediatrics | 320 Pomfret St, Putnam, CT 06260-1836 | 2005-10-10 |
| 1518950096 | Robert Moes | Pediatrics | 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | 2005-08-30 |
| 1225021710 | Adriaan R Herklots | Pediatrics | 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 | 2005-08-30 |
| Find all providers in PUTNAM | ||||
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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.