MR. WAYNE RANDOLPH SMITH (NPI# 1437644689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437644689 |
| Entity Type | Individual |
| Full Name | MR. WAYNE RANDOLPH SMITH |
| Credential | HT |
| Practice Address |
1615 Hill Rd Ste C Novato CA 94947-4338 |
| Mailing Address |
9 Weybridge Ct Oakland CA 94611-2749 |
| Practice Telephone | 4152096076 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RH0600X |
Technician, Pathology Specialization: Histology |
25226 | IL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346797461 | Wayne Allen Roberto Smith | Counselor | 1601 East 4th Plain Blvd, Lifeline Connections, Vancouver, WA 98661 | 2016-09-07 |
| 1578980983 | Wayne Maurice Smith | General Practice | 60 Ne Summit Rd., Chehalis, WA 98532 | 2014-03-24 |
| 1447581392 | Wayne R. Smith | Dentist | 656 N. Wellwood Ave, Louis Lasky Memorial Medical & Dental Center, Lindenhurst, NY 11757 | 2010-01-15 |
| 1609055607 | Wayne Christopher Smith | Chiropractor | 229 20th St, Apt.c, San Diego, CA 92102-3845 | 2007-10-26 |
| 1043435654 | Wayne Lee Smith | Hearing Instrument Specialist | 410 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3534 | 2007-04-17 |
| 1679643530 | Wayne S Smith | Chiropractor | 1211 N 20th Ave, Pasco, WA 99301 | 2006-11-08 |
| 1205842101 | Wayne Smith | Family Medicine | 3210 Eagle Run Dr Ne Ste 100, Grand Rapids, MI 49525-7051 | 2006-07-31 |
| 1003848631 | Wayne Douglas Smith | Physical Therapist | 55 Sheridan Circle, Suite A, Bluffton, SC 29910-6025 | 2006-07-06 |
| 1750343992 | Wayne Graham Smith | Chiropractor | 158 Lake St, Saint Albans, VT 05478-2278 | 2006-04-04 |
| 1164404497 | Wayne E Smith | Pathology | 5333 S Adams Ave Parkway, Suite C, Washington Terrace, UT 84405-6946 | 2005-11-14 |
| Street Address |
1615 HILL RD STE C |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 246RH0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Histology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168466 | Myrna Vargas | Technician, Pathology | 12400 High Bluff Dr, San Diego, CA 92130-3077 | 2019-05-09 |
| 1083087050 | Melinda Chiaro | Technician, Pathology | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2015-11-12 |
| 1619037744 | Marco A Soto | Technician, Pathology | 2625 Coffee Rd, Suite R, Modesto, CA 95355-2050 | 2006-12-11 |
Please comment or provide details below to improve the information on MR. WAYNE RANDOLPH 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.