MR. WILLIAM DELBERT MCSMITH JR. (NPI# 1225060395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225060395 |
Entity Type | Individual |
Full Name | MR. WILLIAM DELBERT MCSMITH JR. |
Credential | DO |
Practice Address |
1400 S 1st Street Haskell TX 79521 |
Practice Telephone | 9408648513 |
Practice Fax Number | 9408642779 |
Mailing Telephone | 9408648513 |
Mailing Fax Number | 9408642779 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2013-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | H3406 | TX | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | H3406 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 110429102 | 05 |
Street Address |
1400 S 1ST STREET |
City | HASKELL |
State | TX |
Zip Code | 79521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902198880 | Ruth Lavone Ebangit | Family Medicine | 1 North Ave N, Haskell, TX 79521 | 2011-05-10 |
1245491026 | Charles W Cadenhead M D | Clinic/Center | 1417 North 1st St Suite A, Haskell, TX 79521-0938 | 2008-06-24 |
1174531735 | Charles W Cadenhead | Family Medicine | 1417 North 1st Street Suite A, Haskell, TX 79521-0938 | 2006-08-03 |
1861401853 | Joe Allen Yates | Family Medicine | 1417 North 1st Street Suite A, Haskell, TX 79521-0938 | 2006-08-07 |
1033516117 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 5 N 14th St, Haskell, TX 79521-3106 | 2014-12-04 |
1912408782 | Michelle Rebecca Espinoza | Licensed Vocational Nurse | 606 N 14th St, Haskell, TX 79521-3406 | 2018-02-26 |
1043818636 | Brittany Diane Moore | Licensed Practical Nurse | 900 N 7th St, Haskell, TX 79521-4410 | 2020-10-15 |
1437510930 | Haskell Cisd | Local Education Agency (LEA) | 605 N Avenue E, Haskell, TX 79521-4515 | 2016-03-10 |
1184607897 | Haskell County Hospital | Medicare Defined Swing Bed Unit | 1 Avenue N, Haskell, TX 79521-5415 | 2005-11-28 |
1588601926 | Leon D Joplin | Family Medicine | 1400 S 1st St, Haskell, TX 79521-5426 | 2006-06-02 |
Find all providers in zip 79521 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.