KENNETH D SMITH (NPI# 1316958531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316958531 |
| Entity Type | Individual |
| Full Name | KENNETH D SMITH |
| Credential | MD |
| Practice Address |
1101 W Liberty Parkland Health Center Dept of Radiology Farmington MO 63640 |
| Mailing Address |
Po Box 629 Smith Imaging Inc Farmington MO 63640 |
| Practice Telephone | 5737608075 |
| Practice Fax Number | 5737608358 |
| Mailing Telephone | 5737608075 |
| Mailing Fax Number | 3148212180 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R8F26 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HL | 235639 | 01 | |
| IL BLUE | 945K1 | 01 | |
| UHC | STL1600408 | 01 | |
| AMER MEDSE | 235639 | 01 | |
| MO | BCBS MO | 945K1 | 01 |
| CMR | 235639 | 01 | |
| GHP | 14989V14989 | 01 | |
| HEALTHCARE | 8707 | 01 | |
| MO BLUE | 945K1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
1101 W LIBERTY PARKLAND HEALTH CENTER DEPT OF RADIOLOGY |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992715122 | Kenneth L Miller | Radiology | 1101 W Liberty, Parkland Health Center Dept of Radiology, Farmington, MO 63640 | 2006-08-09 |
| 1770593907 | Smith Imaging Inc | Radiology | 1101 W Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1538521679 | Focus Point Diagnostics LLC | Radiology | 23337 Orchard Lake Rd, Farmington, MI 48336-3238 | 2016-03-28 |
| 1619103306 | Christopher Michael Garcia | Radiology | 23 Hidden Oak Dr, Farmington, CT 06032-2735 | 2009-06-08 |
| 1992715122 | Kenneth L Miller | Radiology | 1101 W Liberty, Parkland Health Center Dept of Radiology, Farmington, MO 63640 | 2006-08-09 |
| 1497761795 | Medical Diagnostic Services Ltd | Radiology | 657a W Maple, Farmington, NM 87401 | 2006-07-31 |
| 1336182393 | Lynne F Bliss | Radiology | 801 W. Maple, Farmington, NM 87401 | 2006-06-14 |
| 1073507596 | Joseph B Alley | Radiology | 111 Farmington Health Commons, Farmington, ME 04938-6144 | 2005-09-12 |
| 1841284783 | John R Webster | Radiology | 801 W Maple Street, Farmington, NM 87401 | 2005-09-07 |
| 1144222779 | David Ray Dedrickson | Radiology | 1433 N 1075 W, Ste 104, Farmington, UT 84025-2746 | 2005-08-12 |
| 1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on KENNETH D SMITH.
| 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.