ELIZABETH ANNE SMITH (NPI# 1407844624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407844624 |
Entity Type | Individual |
Full Name | ELIZABETH ANNE SMITH |
Credential | M.D |
Practice Address |
402 N 4th Ave Sw Rome GA 30165-2812 |
Mailing Address |
11347 Big Bend Rd Riverview FL 33579-7183 |
Practice Telephone | 7062923045 |
Practice Fax Number | 7062923044 |
Mailing Telephone | 8134187282 |
Mailing Fax Number | 8136777141 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2019-08-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | ME61157 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | HEALTHEASE | 193317 | 01 |
FL | 371653800 | 05 | |
FL | AETNA | 2324845 | 01 |
FL | CIGNA | 419864003 | 01 |
FL | STAYWELL | 193317 | 01 |
FL | HUMANA | 593618517 | 01 |
FL | AVMED | 25600 | 01 |
FL | BLUE CROSS AND BLUE SHIEL | 23670 | 01 |
FL | UNITED HEALTH CARE | 593618517 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
11347 Big Bend Rd, Riverview, FL 335797183 | 8134187282 | 8136777141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
1265040323 | Elizabeth Smith | Behavior Technician | 329 Mesilla View Dr, Chaparral, NM 88081-7944 | 2020-07-15 |
1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
1437706264 | Elizabeth Danielle Smith | Technician | 6571 Barren River Rd, Bowling Green, KY 42101-7905 | 2019-08-26 |
1649834722 | Elizabeth Blair Smith | Occupational Therapist | 12539 Natureview Cir, Bradenton, FL 34212-2984 | 2019-04-24 |
1831655653 | Elizabeth Smith | Massage Therapist | 495 W Avenida Cerca, Palm Springs, CA 92262-0695 | 2019-02-17 |
1881168011 | Elizabeth A Smith | Occupational Therapy Assistant | 11436 Se 89th Pl, Newcastle, WA 98056-2044 | 2019-01-22 |
1215412762 | Elizabeth Horne Smith | Social Worker | 3900 Roland Ave, Baltimore, MD 21211-2018 | 2018-10-01 |
1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
Street Address |
402 N 4TH AVE SW |
City | ROME |
State | GA |
Zip Code | 30165-2812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750630349 | Richard Tyler Barnes | Pediatrics | 402 N 4th Ave Sw, Rome, GA 30165-2812 | 2012-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
Find all providers in zip 30165 |
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 |
---|---|---|---|---|
1134354798 | Erica Paez-zapata | Pediatrics | 18 Riverbend Dr Sw Ste 210, Rome, GA 30161-6019 | 2009-05-26 |
1629169834 | Pediatric & Adolescent Medical Assoc PC | Pediatrics | 117 W Liberty Street, Rome, NY 13440 | 2006-09-27 |
1124119318 | Laura M. Dovan | Pediatrics | 330 Turner Mccall Blvd., Suite 205, Rome, GA 30165 | 2006-09-27 |
1396848388 | Kinkee Chung | Pediatrics | 117 W. Liberty Street, Rome, NY 13440 | 2006-09-06 |
1730189416 | Lawrence Michael Glantz | Pediatrics | 117 W Liberty St, Rome, NY 13440-5758 | 2005-07-26 |
1477029759 | Imagine Pediatrics PC | Pediatrics | 18 Riverbend Dr Sw Ste 210, Rome, GA 30161-6019 | 2018-10-15 |
1982086880 | Kathryn Ford Carroll | Pediatrics | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2015-06-26 |
1275930422 | Olubukola T Adeyeye | Pediatrics | 1801 Black River Blvd N, Rome, NY 13440-2427 | 2014-12-02 |
1750630349 | Richard Tyler Barnes | Pediatrics | 402 N 4th Ave Sw, Rome, GA 30165-2812 | 2012-08-29 |
1952677270 | Bridgette M Dingle | Pediatrics | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2012-03-30 |
Find all providers in ROME |
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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.