MR. SAMUEL W SMITH JR. (NPI# 1548405640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548405640 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL W SMITH JR. |
| Credential | PA-C |
| Practice Address |
777 North St Bfs Neurosurgery At Bhs Pittsfield MA 01201-4147 |
| Mailing Address |
725 North St Pittsfield MA 01201-4109 |
| Practice Telephone | 4134472870 |
| Practice Fax Number | 4134472871 |
| Mailing Telephone | 4134472752 |
| Mailing Fax Number | 4134966836 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
974 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487124376 | Samuel Smith | Occupational Therapist | 174 S Freeport Rd Ste 1a, Freeport, ME 04032-6160 | 2018-12-04 |
| 1922527191 | Samuel Maria Smith | Chiropractor | 1012 Poly Dr, Billings, MT 59102-1832 | 2017-09-19 |
| 1073967949 | Samuel Henry Smith | Student in an Organized Health Care Education/Training Program | Universuty of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2016-04-18 |
| 1285805846 | Samuel Bardwell Smith | Psychologist | 1279 Linda Mar Shopping Ctr, Suite 112, Pacifica, CA 94044-3347 | 2008-03-21 |
| 1588873624 | Samuel L Smith | Chiropractor | 7743 E Broadway Blvd, Tucson, AZ 85710-3941 | 2007-05-22 |
| 1215076518 | Samuel Goodale Smith | Obstetrics & Gynecology | 307 Noble Faire Dr, Sun City Center, FL 33573-6432 | 2007-02-05 |
| 1841363132 | Samuel M Smith | Anesthesiology | 975 E Third S, Chattanooga, TN 37403-2147 | 2006-11-16 |
| 1770671109 | Samuel Madison Smith Jr. | Dentist | 1519 East Mccord, Centralia, IL 62801 | 2006-10-11 |
| 1013920313 | Samuel G. Smith | Dentist | 1541 S. Times Square, Boise, ID 83709 | 2006-08-15 |
| 1649226309 | Samuel R Smith | Chiropractor | 279 West Main Street, #8, Middletown, PA 17057-1222 | 2006-05-25 |
| Street Address |
777 NORTH ST BFS NEUROSURGERY AT BHS |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313197 | Kyle A. Cooper | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2005-06-01 |
| 1720606387 | Autumn Marie Wood | Counselor | 777 North St, Pittsfield, MA 01201-4147 | 2020-07-10 |
| 1538716147 | Robert James Shearer | General Acute Care Hospital | 777 North St, Pittsfield, MA 01201-4147 | 2019-08-20 |
| 1659840825 | Bridget Marie Brockway | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-11-17 |
| 1174099386 | Shannon Patricia O'driscoll | Physician Assistant | 777 North St, Pittsfield, MA 01201-4147 | 2018-10-16 |
| 1780178434 | Sharon Parmenter | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-06-17 |
| 1023535259 | Lauren Fleury | Nurse Practitioner | 777 North St, Pittsfield, MA 01201 | 2017-08-28 |
| 1831636224 | Shannon Marie Mclaughlin | Nurse Practitioner | 777 North St, Berkshire Ob/gyn Suite, Pittsfield, MA 01201-4147 | 2017-01-24 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| 1194128439 | Berkshire Faculty Services | Clinic/Center | 777 North St, Pittsfield, MA 01201-4147 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699309104 | Ilana C Kasal | Physician Assistant | 24 Park St, Pittsfield, MA 01201-0900 | 2020-02-24 |
| 1356823694 | Laurieann Quiry | Physician Assistant | 725 North St, Pittsfield, MA 01201-4124 | 2018-09-04 |
| 1477075968 | Peter Ryan Zayac | Physician Assistant | 24 Park St, Pittsfield, MA 01201-4037 | 2017-07-17 |
| 1114235587 | Maria L.c. Schaefer | Physician Assistant | 41 Wahconah St, Pittsfield, MA 01201-2627 | 2010-09-20 |
| 1255669552 | Joseph J. Kotelnicki | Physician Assistant | 24 Park Street, Pittsfield, MA 01201 | 2009-11-24 |
| 1396981072 | Steven F Rich | Physician Assistant | 24 Park Street, Pittsfield, MA 01201 | 2008-12-30 |
| 1245485572 | James C O'brien | Physician Assistant | 777 North St, Berkshire Faculty Services - Neurosurgery At Bhs, Pittsfield, MA 01201-4147 | 2008-12-01 |
| 1053506998 | Laurie Bartling | Physician Assistant | 777 North St, Pittsfield, MA 01201-4147 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.