DR. DAN SULLIVAN SMITH (NPI# 1548530454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548530454 |
| Entity Type | Individual |
| Full Name | DR. DAN SULLIVAN SMITH |
| Credential | M.D. |
| Practice Address |
5988 Saint Denis Ter San Diego CA 92120-3015 |
| Practice Telephone | 6192878049 |
| Practice Fax Number | 6192878044 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | CFE 25635 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881961514 | Dan A Smith | Clinical Exercise Physiologist | 807 Crestland Ave, Columbia, MO 65203-2309 | 2011-11-23 |
| 1043310303 | Dan Mark Smith | Physical Therapist | 1111 A Street, Plummer, ID 83851 | 2006-09-25 |
| 1114023629 | Dan F Smith | Chiropractor | 607 N Baltimore Ave, Derby, KS 67037-1607 | 2006-09-15 |
| 1720014814 | Dan Michael Smith | Psychologist | 425 Fairview Ave, Ponca City, OK 74601-1924 | 2006-06-23 |
| 1073514394 | Dan C Smith Jr. | Nurse Anesthetist, Certified Registered | 2230 Memorial Park Dr, Sparta, NC 28675-9665 | 2005-08-09 |
| 1245881309 | Dan Robert Smith | Pharmacist | 19515 Brune Pkwy, Warrenton, MO 63383-6505 | 2019-09-20 |
| 1265729610 | Dan Smith IIi | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2011-07-06 |
| 1982730818 | Dan Walter Smith | Counselor | 1455 Beeler St, Aurora, CO 80010-3027 | 2007-02-26 |
| Street Address |
5988 SAINT DENIS TER |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1891213245 | Rishi Jindal Md Inc | Plastic Surgery | 12264 El Camino Real Ste 101, San Diego, CA 92130-3060 | 2017-09-06 |
| 1134453640 | Gary Haves Manchester | Plastic Surgery | 3720 Fourth Ave, San Diego, DC 92110-4763 | 2009-09-30 |
| 1992937304 | Stuart B Kincaid Md, Facs, Apc | Plastic Surgery | 8929 University Center Ln Ste 201, San Diego, CA 92122-1008 | 2009-08-18 |
| 1851528137 | Aram Harijan | Plastic Surgery | 1830 Reed Ave Apt 2, San Diego, CA 92109 | 2009-06-15 |
| 1760636534 | Ahmad Nazih Saad | Plastic Surgery | 5370 Toscana Way, Unit H212, San Diego, CA 92122-5656 | 2008-11-06 |
| 1528239761 | Innovative Plastic & Cosmetic Surgery Inc | Plastic Surgery | 6610 Flanders Dr, Suite 101, San Diego, CA 92121-3940 | 2008-03-16 |
| 1316069503 | Salvatore John Pacella IIi | Plastic Surgery | 12395 El Camino Real Ste 112, San Diego, CA 92130-3084 | 2007-04-06 |
| 1639290075 | Farid Brad Mozaffari | Plastic Surgery | 3655 Nobel Dr Ste 100, San Diego, CA 92122-1004 | 2007-04-03 |
| Find all providers in SAN DIEGO | ||||
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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.