MR. DARYL EDSON SMITH


Address: 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823
Phone: 5058978642

MR. DARYL EDSON SMITH (NPI# 1477535698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477535698
Entity Type Individual
Full Name MR. DARYL EDSON SMITH
Credential PA-C
Practice Address 4504 Waynesboro Rd Nw
Albuquerque
NM 87120-3823
Practice Telephone 5058978642
Mailing Telephone 5058978642
Enumeration Date 2005-11-15
Last Update Date 2013-01-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
92 PA-20 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 98092 05

Other Providers DARYL SMITH

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1871018192 Daryl Smith Social Worker 1400 12th Ave Nw, Austin, MN 55912-1912 2017-08-08
1508019258 Daryl John Smith Dentist 154 North St, Arcade, NY 14009-1204 2008-10-28
1881704559 Daryl Edward Smith Dentist 376 New Berlin Rd, Suite 1, Jacksonville, FL 32218 2006-08-30
1013924877 Daryl Irving Smith Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2006-08-02
1356366553 Daryl James Smith Physical Therapist 306 36th St, Bellingham, WA 98225 2006-07-12
1710959507 Daryl Lynn Smith Anesthesiology 405 W Greenlawn, #106, Lansing, MI 48910 2006-02-06

Office Location

Street Address 4504 WAYNESBORO RD NW
City ALBUQUERQUE
State NM
Zip Code 87120-3823

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971919 Erica Denise Ortiz Social Worker 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 2020-10-27
1770133589 Laura Lee Smith Technician 5112 Vista De Luz Nw, Albuquerque, NM 87120 2019-09-13
1285282715 Aiden Charles Martinez Case Manager/Care Coordinator 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 2019-08-28
1831753508 Jennifer Lydia Castro Nurse Practitioner 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 2019-04-27
1518425065 Jean Louise Ramsey Counselor Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 2019-03-04
1689147365 Stairway Recovery, LLC Family Medicine 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 2019-01-06
1417443276 Kyle Thomas Lantz Dentist 2800-a Coors Blvd Nw, Albuquerque, NM 87120 2018-07-05
1437669736 Beatrice Ottomanelli Day Training/Habilitation Specialist 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 2017-10-02
1740705516 Alianza Home Care, LLC Home Health 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 2017-08-13
1366963399 Jamie Farris Registered Nurse 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 2017-06-29
Find all providers in zip 87120

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013398072 Lauren Soules Physician Assistant 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 2015-06-16
1447666508 Audrey Rich Physician Assistant 201 Cedar Ave, Albuquerque, NM 87106 2014-07-09
1104178813 Adam M Newman Physician Assistant University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-10-04
1255682944 Armstrong Medical LLC Physician Assistant 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 2012-09-21
1982818860 Kristen Marron Bushnell Physician Assistant Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 2007-05-09
1629092457 David A Mcculloch Physician Assistant 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 2006-07-26
1861444143 Beverly Heck Bierbach Physician Assistant Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 2006-05-16
1881654218 Paul Lee Armstrong Physician Assistant 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 2006-03-28
1366431355 Michelle M Ruthmann Physician Assistant 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 2005-10-21
1902800717 Ralph T Zych Physician Assistant 6801 Jefferson St Ne, Suite 350, Albuquerque, NM 87109-4379 2005-06-09
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87120

Improve Information

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Dataset Information

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.

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