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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 98092 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144630237 | Daryl Smith | In Home Supportive Care | 7050 N Presidio Dr Apt G, Milwaukee, WI 53223-6320 | 2014-04-29 |
1598831307 | Daryl Ladell Smith | Speech-Language Pathologist | 1745 East 280 North, St George, UT 84790 | 2006-11-27 |
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 |
Street Address |
4504 WAYNESBORO RD NW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87120-3823 |
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 Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
City | ALBUQUERQUE |
Zip Code | 87120 |
Please comment or provide details below to improve the information on MR. DARYL EDSON 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.