DR. STACEY RENEE SMITH (NPI# 1437245735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437245735 |
| Entity Type | Individual |
| Full Name | DR. STACEY RENEE SMITH |
| Credential | DPM |
| Practice Address |
209 4th Ave Saint Albans WV 25177-2821 |
| Practice Telephone | 3047279200 |
| Mailing Telephone | 3047279200 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00373 | WV | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 2104022000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385771 | Stacey Smith | Physical Therapy Assistant | 24 Deer Run Rd, Little Egg Harbor Twp, NJ 08087-9722 | 2020-10-28 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1356812994 | Stacey Smith | Doula | 8711 Whitson Ct, Springfield, VA 22153-1268 | 2018-12-07 |
| 1871000745 | Stacey Smith | Counselor | 8622 Winton Rd Ste A, Cincinnati, OH 45231-4823 | 2018-01-02 |
| 1992150411 | Stacey Smith | Community Health Worker | 3042 Fitzgerald St, Jacksonville, FL 32254-3947 | 2016-05-03 |
| 1942664669 | Stacey Smith | Pharmacist | 124845 Main St, Williston, SC 29853-2711 | 2016-04-08 |
| 1184085813 | Stacey Smith | Psychologist | 2211 S Mill Ave, Tempe, AZ 85282-2115 | 2016-03-08 |
| 1881011716 | Stacey Amanda Smith | Pharmacist | 4468 Eagle River Run, Broomfield, CO 80023-8753 | 2014-03-28 |
| 1164755765 | Stacey V Smith | Counselor | 69 Mascot St, Dorchester Center, MA 02124-4130 | 2009-09-14 |
| 1831357185 | Stacey Marie Smith | Specialist/Technologist, Other | 1816 N 155th St, Shoreline, WA 98133-6014 | 2008-05-22 |
| Street Address |
209 4TH AVE |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013003318 | Michael Patrick Noto | Podiatrist | 209 4th Ave, Saint Albans, WV 25177-2821 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013003318 | Michael Patrick Noto | Podiatrist | 209 4th Ave, Saint Albans, WV 25177-2821 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154794097 | Valley Foot and Ankle Care Pllc | Podiatrist | 362 American Way, Suite 1, Weirton, WV 26062-4083 | 2015-10-31 |
| 1558752485 | Jungmin Yoo | Podiatrist | 134 Beckley Crossing, Beckley, WV 25801 | 2015-02-13 |
| 1538504345 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 1 Cook Parkway, Oceana, WV 24870 | 2013-05-07 |
| 1174968218 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 5504 Maccorkle Ave Se, Charleston, WV 25304-2320 | 2013-05-02 |
| 1982915575 | Jamie Leann Hall-jasper | Podiatrist | 100 Main Ave, Logan, WV 25601-3323 | 2010-06-29 |
| 1417109489 | Great Teays Podiatry | Podiatrist | 3701 Teays Valley Road, Suite A, Hurricane, WV 25526-9645 | 2008-10-21 |
| 1821270406 | Goodwin Foot & Ankle Center Pllc | Podiatrist | 3500 Jacob St, Wheeling, WV 26003-1934 | 2007-12-05 |
| 1295916047 | Bryan W. Danhires, Dpm Pllc | Podiatrist | 300 Buckhannon Pike, Clarksburg, WV 26301-3947 | 2007-11-21 |
| 1659552958 | Steve Scott Melek | Podiatrist | 17 Main Ave, Professional Building, Logan, WV 25601-3332 | 2007-11-15 |
| 1992904270 | Carrie Parris Frame | Podiatrist | 100 Tracy Way Ste 400, Charleston, WV 25311 | 2007-07-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 25177 |
Please comment or provide details below to improve the information on DR. STACEY RENEE 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.