MR. CHADWICK PARRISH SMITH (NPI# 1417983644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417983644 |
Entity Type | Individual |
Full Name | MR. CHADWICK PARRISH SMITH |
Credential | MD |
Practice Address |
77 W Underwood St Ste 200 Orlando FL 32806-1122 |
Practice Telephone | 4076496884 |
Practice Fax Number | 4072457059 |
Mailing Telephone | 4076496884 |
Mailing Fax Number | 4072457059 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2016-11-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 19691 | MS | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MD 40449 | TN | Allopathic & Osteopathic Physicians |
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
ME86695 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003452700 | 05 | |
TN | 38234991 | 05 | |
FL | MEDICAL LICENSE | ME86695 | 01 |
TN | MEDICARE PTAN | 38234991 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
1326012519 | Chadwick A Smith | Orthopaedic Surgery | 60 Erlanger South Dr, Ringgold, GA 30736-3179 | 2006-02-14 |
1538610589 | Chadwick Smith | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-10-14 |
1235270968 | Chadwick Fitzhugh Smith | Orthopaedic Surgery | 1127 Wilshire Blvd, Suite 912, Los Angeles, CA 90017-3901 | 2007-02-08 |
1417956657 | Chadwick Ray Smith | Emergency Medicine | 2900 1st Ave, Huntington, WV 25702 | 2005-07-19 |
Street Address |
77 W UNDERWOOD ST STE 200 |
City | ORLANDO |
State | FL |
Zip Code | 32806-1122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336137280 | Physician Associates LLC | Specialist | 77 W Underwood St, Orlando, FL 32806-1122 | 2005-10-13 |
1871147157 | Rachel L Belford | Advanced Practice Midwife | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-07-25 |
1528622719 | Quang Duong | Nurse Practitioner | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-24 |
1922662279 | Jacqueline Seoane | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-23 |
1457915795 | Morgan Kirkpatrick | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-23 |
1083278337 | Alana Cahill | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-23 |
1609430974 | Catherine Marie Donat | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-23 |
1780248021 | Bhupaul Ramsuchit | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-23 |
1073177341 | Nicole Ann Stewart | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-23 |
1487217774 | Jacob Bruno-friedman | Student in an Organized Health Care Education/Training Program | 77 W Underwood St, Orlando, FL 32806-1122 | 2019-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
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Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508203100 | Kathleen Relihan | Surgery | 77 W Underwood St Ste 200, Orlando, FL 32806-1122 | 2013-05-23 |
1033556634 | Brittany N Warren | Surgery | 77 W Underwood St, Ste 300, Orlando, FL 32806-1122 | 2013-05-23 |
1699900217 | Stephen Hersperger | Surgery | 77 W Underwood St, Ste 200, Orlando, FL 32806-1122 | 2009-05-27 |
1053522052 | William Samuel Havron IIi | Surgery | 77 W Underwood St, Ste 200, Orlando, FL 32806-1122 | 2007-05-24 |
1205945185 | Indermeet Singh Bhullar | Surgery | 77 W Underwood St, Suite 200, Orlando, FL 32806-1122 | 2006-08-30 |
1588622914 | Nicholas C Cavarocchi | Surgery | 601 E Rollins St, Orlando, FL 32803 | 2006-05-03 |
1700849270 | Jon W Johnson | Surgery | 601 E Rollins St, Orlando, FL 32803 | 2006-04-07 |
1356322572 | Irene B Medary | Surgery | 7340 Stonerock Cir, Orlando, FL 32819 | 2005-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437579489 | Brandon Masi Parker | Surgery | 1611 Nw 12th Ave # 215, Miami, FL 33136-1005 | 2014-04-17 |
1992998934 | Vivek Vijay Tirmal | Surgery | 607 Ne 11th Ave, Fort Lauderdale, FL 33304-4695 | 2007-08-23 |
1467657890 | Khaled Basiouny | Surgery | 603 7th St S Ste 500, St Petersburg, FL 33701-4734 | 2007-06-16 |
1417028614 | Derek Powell Brock | Surgery | 836 Lakeside Dr, North Palm Beach, FL 33408-3810 | 2006-11-11 |
1548278856 | Patrick Gonzalez Jr. | Surgery | 12651 N Dale Mabry Hwy, #272204, Tampa, FL 33688-9001 | 2006-08-03 |
1124061346 | Dana A. Taylor | Surgery | 1234 Se Magnolia Ext Unit 1, Ocala, FL 34471-3778 | 2006-06-14 |
1730163643 | Joseph Mcginn | Surgery | 8950 N Kendall Dr Ste 607w, Miami, FL 33176-2139 | 2005-12-05 |
1902429475 | Giovanni Jose Flumeri-perez | Surgery | 1431 Sw 1st Ave Bldg Suite7, Ocala, FL 34471-6500 | 2020-05-19 |
1194384297 | Jorge A. Vega Jr., M.d., Pllc | Surgery | 3375 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4361 | 2019-06-12 |
1831648492 | Mario Rueda Md Pllc | Surgery | 3375 Burns Rd, Palm Beach Gardens, FL 33410-4349 | 2016-09-23 |
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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.