KENNETH L SMITH (NPI# 1457323909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457323909 |
| Entity Type | Individual |
| Full Name | KENNETH L SMITH |
| Credential | MD |
| Practice Address |
1831 5th Ave Columbus GA 31904-8915 |
| Mailing Address |
Po Box 1038 Columbus GA 31902-1038 |
| Practice Telephone | 7063208660 |
| Practice Fax Number | 7063208664 |
| Mailing Telephone | 7066606148 |
| Mailing Fax Number | 7066602843 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2014-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 048722 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009931860 | 05 | |
| GA | MEDICAID-DSH | 000879029C | 01 |
| GA | BCBS | 52262489-005 | 01 |
| GA | MEDICAID-NSMC | 000879029E | 01 |
| GA | 000879029A | 05 | |
| GA | BCBS | 52262489-003 | 01 |
| AL | BCBS | 600-11156 | 01 |
| GA | MEDICAID-MMC | 000879029D | 01 |
| GA | RAILROAD MEDICARE | 20046782 | 01 |
| AL | MEDICAID-MMC | 154859 | 01 |
| AL | BCBS | 600-96706 | 01 |
| GA | MEDICAID-OFFICE | 000879029B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
1831 5TH AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-8915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980933 | Jennifer C Strickland | Pharmacist | 1831 5th Ave, Columbus, GA 31904-8915 | 2005-05-23 |
| 1376018689 | Raphael Aswani Atulo | Physician Assistant | 1831 5th Ave, Columbus, GA 31904-8915 | 2018-10-12 |
| 1962948414 | The Medical Center Inc. Jbacc Location | Pharmacy | 1831 5th Ave, Columbus, GA 31904-8915 | 2017-01-09 |
| 1750645586 | Vanessa Pringle Smith | Pharmacist | 1831 5th Ave, Regional Hope Pharmacy, Columbus, GA 31904-8915 | 2012-06-26 |
| 1568794030 | Woodrow Webster Mcwilliams IIi | Radiology | 1831 5th Ave, Columbus, GA 31904-8915 | 2010-02-08 |
| 1295902419 | Mukesh Kumar | Internal Medicine | 1831 5th Ave, Columbus, GA 31904-8915 | 2008-05-15 |
| 1225202807 | Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 1831 5th Ave, Suite 200, Columbus, GA 31904-8915 | 2008-04-15 |
| 1770763765 | Columbus Regional Healthcare System | Prosthetic/Orthotic Supplier | 1831 5th Ave, Columbus, GA 31904-8915 | 2007-11-07 |
| 1356497739 | Naomi D Narhmartey | Pharmacist | 1831 5th Ave, Columbus, GA 31904-8915 | 2007-01-26 |
| 1982778239 | Regional Oncology, LLC | Internal Medicine | 1831 5th Ave, Columbus, GA 31904-8915 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1972033413 | Baker Surgical Services | Surgery | 6127 Goodwin Dr, Columbus, GA 31909-4338 | 2017-06-18 |
| 1043691702 | Maegan Kellie Garcia Lazaga | Surgery | 235 W 12th Ave Rm 414, Columbus, OH 43210-1303 | 2015-06-17 |
| 1861819310 | Ryan Albert John Campagna | Surgery | 191 W 8th Ave, Columbus, OH 43201-2311 | 2014-03-22 |
| 1578908901 | Jodi Marie Oostra | Surgery | 500 Thomas Ln Ste 2b, Columbus, OH 43214-1419 | 2013-04-29 |
| 1538416144 | Aliyah Kanji | Surgery | 4830 Kinghtsbridge Boulevard, Suite J, Columbus, OH 43214 | 2012-08-14 |
| 1598029969 | James Bradley Beckham | Surgery | 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 | 2012-06-29 |
| 1043500846 | Kara Keplinger Rossfeld | Surgery | 285 E State St Ste 300, Columbus, OH 43215-4357 | 2011-04-13 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1568793164 | John David Lipson | Surgery | 12945 E 100 N, Columbus, IN 47203-9601 | 2010-01-20 |
| Find all providers in COLUMBUS | ||||
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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.