VLASTIMIL SMETKA (NPI# 1497974273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497974273 |
| Entity Type | Individual |
| Full Name | VLASTIMIL SMETKA |
| Credential | MD |
| Practice Address |
501 Robertson Blvd Walterboro SC 29488-2787 |
| Practice Telephone | 8437822737 |
| Practice Fax Number | 8662257578 |
| Mailing Telephone | 8437822737 |
| Mailing Fax Number | 8662257578 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29413 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | LL29413 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 294130 | 05 | |
| TAX ID | 57-0359174 | 01 | |
| SC | RR MEDICARE PTAN | P00851427 | 01 |
| Street Address |
501 ROBERTSON BLVD |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354888 | Kimberly D Rakes-stephens | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-05-31 |
| 1114482726 | Rachel Mcniesh | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2019-02-07 |
| 1386120301 | Kara A Ott | Nurse Practitioner | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-07-12 |
| 1386143311 | Andrew S Cook | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-02-05 |
| 1780057505 | Boxwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1730552639 | Driftwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1326446584 | Katherine Heacock | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-12-19 |
| 1265841134 | Greylock Emergency Physicians LLC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1265841126 | Half Dome Inpatient Services LLC | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1225440951 | Cheryl Dunlop | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256934 | David Weston Hiott | Family Medicine | 418 Wichman St, Walterboro, SC 29488-2922 | 2008-05-26 |
| 1851341317 | William Walter Haynes | Family Medicine | 415d Robertson Blvd, W Walter Haynes, Walterboro, SC 29488 | 2006-05-12 |
| 1235189259 | Lowcountry Medical Associates | Family Medicine | 415 Robertson Blvd, Suite D, Walterboro, SC 29488-5713 | 2006-05-11 |
| 1164425575 | John Caudell Carson | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2005-05-31 |
| 1962725176 | Palmetto Primary Care Physicians | Family Medicine | 457 Spruce St, Walterboro, SC 29488-2766 | 2010-03-03 |
| 1205097516 | Stania Ayanna Dejesus | Family Medicine | 447 Spruce St, Walterboro, SC 29488-2766 | 2008-06-19 |
| 1427187673 | Michael Eugene Steele | Family Medicine | 107 Church St, Walterboro, SC 29488-2901 | 2007-03-05 |
| 1053468322 | Bryan D Tompkins | Family Medicine | 107 Church St, Walterboro, SC 29488-2901 | 2007-01-05 |
| 1346283421 | John Johnston | Family Medicine | 107 Church St, Walterboro, SC 29488-2901 | 2006-06-14 |
| 1912940040 | Michael Smith | Family Medicine | 107 Church St, Walterboro, SC 29488-2901 | 2006-06-14 |
| Find all providers in WALTERBORO | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
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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.