DR. DOUGLAS SMITH


Address: 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2533
Phone: 6512415290

DR. DOUGLAS SMITH (NPI# 1518285725) 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) 1518285725
Entity Type Individual
Full Name DR. DOUGLAS SMITH
Credential M.D.
Practice Address 225 Smith Ave N
Suite 201
Saint Paul
MN 55102-2533
Mailing Address 225 Smith Ave N
Ste 201
Saint Paul
MN 55102-2533
Practice Telephone 6512415290
Practice Fax Number 6512415140
Mailing Telephone 2155901722
Enumeration Date 2010-05-12
Last Update Date 2016-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080S0010X Pediatrics
Specialization: Sports Medicine
MT202293 PA Allopathic & Osteopathic Physicians
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
60589 MN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers DOUGLAS SMITH

NPI Name Taxonomy Address Enumeration
1447764543 Douglas Bradford Smith Counselor 8200 Nashville Ave Ste 203, Lubbock, TX 79423-1906 2017-11-28
1891110508 Douglas Smith Psychologist 180 Foote St, Middlebury, VT 05753-2018 2014-03-04
1366727190 Douglas A Smith Psychologist 42b Wright St, Palmer, MA 01069-1156 2011-10-12
1124322961 Douglas Bradford Smith Dentist 7879 El Cajon Blvd, La Mesa, CA 91942-0623 2011-01-10
1124321989 Douglas Edward Smith Counselor 5431 E Mayflower Ln, Suite 5, Wasilla, AK 99654-7891 2010-12-16
1134454127 Douglas Howard Smith Dentist 130 S 130 St, Wooster, OH 44691 2009-10-08
1841433844 Douglas Alexander Smith Orthopaedic Surgery 2424 E 21 St, 320, Tulsa, OK 74114-1722 2009-04-07
1336324839 Douglas Smith Specialist 1520 Collier Pl Se, Smyrna, GA 30080-4400 2008-01-02
1538342118 Douglas A Smith Family Medicine 155 Golden View Dr, Long Lake, MN 55356-9779 2007-12-06
1902016611 Douglas Kent Smith Physician Assistant 1354 N Newcomb St, Porterville, CA 93257-9588 2007-05-23

Office Location

Street Address 225 SMITH AVE N
SUITE 201
City SAINT PAUL
State MN
Zip Code 55102-2533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902805146 Kristi R Swarthwood Nurse Practitioner 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 2005-07-19
1053936922 Suzanne Moseley Clinical Neuropsychologist 225 Smith Ave N, Saint Paul, MN 55102-2533 2020-06-16
1700300720 Jennifer Mikkelson Nurse Practitioner 225 Smith Ave N, Saint Paul, MN 55102-2533 2017-08-01
1518404268 Jon Reynolds England Physician Assistant 225 Smith Ave N, Saint Paul, MN 55102-2533 2017-01-19
1891248977 Lucy Bernhoft Bediako Physician Assistant 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 2016-07-26
1033662135 Sonja Harlane Registered Nurse 225 Smith Ave N, #400, Saint Paul, MN 55102-2533 2016-07-26
1528413689 Katie Reger Psychologist 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2533 2016-04-26
1053770784 Anne Sheehan Nurse Practitioner 225 Smith Ave N, #400, Saint Paul, MN 55102-2533 2016-02-23
1306203278 Megan Corinne Ayers Assad Physician Assistant 225 Smith Ave N, Suite 200, Saint Paul, MN 55102-2533 2016-01-24
1760868053 Augusta Ruth Neisen Physician Assistant 225 Smith Ave N, Ste. 400, Saint Paul, MN 55102-2533 2015-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205200383 Child Neurology Solutions Pllc Psychiatry & Neurology 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 2015-11-30
1962829432 Jamie Marie Eskuri Psychiatry & Neurology 200 University Ave E, Saint Paul, MN 55101-2507 2014-03-23
1154587863 Nitin Agarwal Psychiatry & Neurology 225 Smith Ave N, Saint Paul, MN 55102-2533 2008-08-01
1134318488 Nicole Jeanette Williams Doonan Psychiatry & Neurology 200 University Ave E, Saint Paul, MN 55101-2507 2007-10-22
1740360734 Beverly S Wical Psychiatry & Neurology 200 University Ave E, Saint Paul, MN 55101-2507 2006-10-16
1043309172 Betty J Ong Psychiatry & Neurology 200 University Ave E, Saint Paul, MN 55101-2507 2006-10-12
1467561464 Timothy Feyma Psychiatry & Neurology 200 University Ave E, Office 3344, Saint Paul, MN 55101-2507 2006-08-30
1578571436 Michael D Frost Psychiatry & Neurology 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 2006-08-04
1710908447 Jason S Doescher Psychiatry & Neurology 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 2006-07-21
1811977481 Kellie S Sweet Psychiatry & Neurology 200 University Ave E, Saint Paul, MN 55101-2507 2006-01-19
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55102

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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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