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).
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 |
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 |
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 |
Street Address |
225 SMITH AVE N SUITE 201 |
City | SAINT PAUL |
State | MN |
Zip Code | 55102-2533 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55102 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
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] |
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 |
City | SAINT PAUL |
Zip Code | 55102 |
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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.