JOHN J SMITH III (NPI# 1477540466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477540466 |
| Entity Type | Individual |
| Full Name | JOHN J SMITH III |
| Credential | MD |
| Practice Address |
2010 Baldwin Ln Winston Salem NC 27103-5846 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3365644430 |
| Practice Fax Number | 3362771718 |
| Mailing Telephone | 3365644430 |
| Mailing Fax Number | 3362771718 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2006-01208 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4397049 | 01 | |
| BCBS | 143A1 | 01 | |
| RR MEDICARE | P00378870 | 01 | |
| SC | Q0120D | 05 | |
| WV | 3810007318 | 05 | |
| MEDCOST | 191377 | 01 | |
| VA | 10385121 | 05 | |
| NC | 5905795 | 05 | |
| PARTNERS | 808464 | 01 | |
| MA | 6193161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
2010 BALDWIN LN |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877939 | Sarah Katherine Ebersold | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-09-29 |
| 1861025348 | Rachel Day Beauchamp | Nurse Practitioner | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-02-12 |
| 1659724839 | Kevin Minwoo Chung | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2016-07-22 |
| 1851763361 | Melvin Nelson Levers IIi | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2015-10-22 |
| 1508234402 | Forsyth Memorial Hosptial Inc | Obstetrics & Gynecology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2015-09-09 |
| 1174963359 | John R Laisure | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2013-07-02 |
| 1356632442 | Richard Heechun Shin | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2011-04-25 |
| 1972743185 | Stacey M. Smith | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2009-02-27 |
| 1851555858 | John Mcfarland Wilson | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2008-07-18 |
| 1639342835 | Brandon Lee Craven | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1679848592 | Lysanne Campeau | Urology | 391 Technology Way, Winston Salem, NC 27101-3074 | 2012-03-09 |
| 1275736795 | Forsyth Memorial Hospital Inc | Urology | 2010 Baldwin Lane, Winston Salem, NC 27103 | 2007-06-11 |
| 1972566297 | Oliver James Hart Jr. | Urology | 180 Kimel Park Dr Ste 110, Winston Salem, NC 27103-6970 | 2006-04-08 |
| 1477549707 | Robert James Evans IIi | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2005-09-22 |
| 1548877939 | Sarah Katherine Ebersold | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-09-29 |
| 1235629890 | Forsyth Memorial Hospital, Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2018-05-18 |
| 1992161665 | Novant Medical Group Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2016-01-11 |
| 1518345784 | Cornerstone Health Care, LLC | Urology | 1665 Westbrook Plaza Dr, Winston Salem, NC 27103-2993 | 2015-05-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.