DR. SCOTT RUSSELL SMITH (NPI# 1326115825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326115825 |
| Entity Type | Individual |
| Full Name | DR. SCOTT RUSSELL SMITH |
| Credential | D.C. |
| Practice Address |
315 Racetrack Road Northeast Fort Walton Beach FL 32547 |
| Practice Telephone | 8502004911 |
| Mailing Telephone | 8502004911 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8625 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 430 Racetrack Rd Ne, Ste B, Fort Walton Beach, FL 325472548 | 8502004911 | 8502267907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544808 | Scott Adam Smith | Specialist | 5602 184th St, Fresh Meadows, NY 11365-2215 | 2017-01-16 |
| 1184068918 | Scott Michael Smith | Dentist | 5819 Highway 6 Ste 350, Missouri City, TX 77459-4070 | 2013-04-23 |
| 1780926931 | Scott Adam Smith | Orthopaedic Surgery | 17600 Shamrock Blvd, Westfield, IN 46074-7002 | 2013-03-25 |
| 1811244155 | Scott Allen Smith | Counselor | 300 Trophy Club Dr., Ste. 600, Trophy Club, TX 76262-5416 | 2012-08-06 |
| 1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
| 1043516305 | Scott A Smith | Occupational Therapist | 35634 E County Road 1540, Pauls Valley, OK 73075-8722 | 2011-02-03 |
| 1508099284 | Scott Cameron Smith | Dentist | 25099 Starr St, Loma Linda, CA 92354-2813 | 2009-08-28 |
| 1205062270 | Scott Matthew Smith | Psychologist | 5755 Violeta Ave, Atascadero, CA 93422-3125 | 2009-06-04 |
| 1487815031 | Scott Smith | Social Worker | 700 W University Dr, #139, Tempe, AZ 85281-3467 | 2008-06-17 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| Street Address |
315 RACETRACK ROAD NORTHEAST |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297588 | Healing Purpose Chiropractic, Pa | Chiropractor | 68 Beal Parkway Sw, Fort Walton Beach, FL 32548-5331 | 2017-11-02 |
| 1235659954 | Christine M. Dodier | Chiropractor | 212 Racetrack Rd Nw, Fort Walton Beach, FL 32547-3831 | 2017-06-23 |
| 1437409885 | Fort Walton Beach Chiropractic LLC | Chiropractor | 315 Racetrack Rd Ne, Fort Walton Beach, FL 32547-2548 | 2012-09-13 |
| 1134451776 | Hutchison Chiropractic Center Inc. | Chiropractor | 200 Buck Dr Ne, Fort Walton Beach, FL 32548-5060 | 2010-02-08 |
| 1285961821 | John S Kovar Dc Pa | Chiropractor | 29g Miracle Strip Pkwy Sw, Fort Walton Beach, FL 32548-6655 | 2009-11-03 |
| 1801084330 | John S Chomer Dc Md PC | Chiropractor | 625 Lovejoy Rd Nw, Fort Walton Beach, FL 32548-3838 | 2007-10-10 |
| 1013133727 | Susan Joan Kracht | Chiropractor | 777 Overbrook Dr, Fort Walton Beach, FL 32547-3591 | 2007-04-18 |
| 1407984917 | Edward M Frisbee | Chiropractor | 119 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2007-02-28 |
| 1831233188 | Sean Lee Price | Chiropractor | 745c Beal Pkwy Nw, Suite 2, Fort Walton Beach, FL 32547-3093 | 2007-02-19 |
| 1093861924 | Rachel Selena Hutchison | Chiropractor | 128 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2007-01-25 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on DR. SCOTT RUSSELL 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.