DR. VINCENT CHARLES SMITH (NPI# 1558338475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558338475 |
| Entity Type | Individual |
| Full Name | DR. VINCENT CHARLES SMITH |
| Credential | MD |
| Practice Address |
4420 Lake Boone Trl Raleigh NC 27607-7505 |
| Mailing Address |
Po Box 100559 Florence SC 29501-0559 |
| Practice Telephone | 9197843040 |
| Practice Fax Number | 9197843362 |
| Mailing Telephone | 8436644300 |
| Mailing Fax Number | 8436644308 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 132PU | 01 |
| NC | 89132PU | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700095304 | Vincent R Smith | Occupational Therapist | 3840 Murphy Canyon Rd, San Diego, CA 92123-4428 | 2007-05-21 |
| 1497877070 | Vincent G Smith | Psychologist | 12 Parmenter Rd Unit A3, Londonderry, NH 03053-3200 | 2007-04-04 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1164420758 | Vincent Smith Jr. | Dentist | 6925 Willow Street, B-106, Washington, DC 20012 | 2005-07-08 |
| 1508320433 | Vincent Smith | Behavioral Analyst | 858 E 29th St, Brooklyn, NY 11210-2927 | 2019-01-24 |
| 1164771614 | Vincent Ross Smith | Registered Nurse | 1601 Lafayette Rd, Crawfordsville, IN 47933-1032 | 2012-08-30 |
| 1790043891 | Vincent Elliott Smith | Social Worker | 22900 Remick Dr, Clinton Twp, MI 48036-2797 | 2012-04-26 |
| 1831368174 | Vincent Patrick Smith Sr. | Dentist | 301 E Antietam St, Hagerstown, MD 21470 | 2008-02-20 |
| 1134256514 | Vincent L Smith | Dentist | 300 S Manlius St, Fayetteville, NY 13066-2041 | 2007-02-27 |
| 1427100858 | Vincent Cole Smith | Dentist | 3687 Las Posas Rd, Dos Caminos Plaza, Camarillo, CA 93010-1482 | 2007-01-17 |
| Street Address |
4420 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035405 | Karen Kinney Schneider | Nurse Practitioner | 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 | 2005-07-05 |
| 1700486685 | Cameron Blake Little | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-10-29 |
| 1942811278 | Whitney Dale Marks | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-08-11 |
| 1447869359 | Daneille Barbara Hamlin | Audiologist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-07-27 |
| 1427675057 | Robert Brinson Mitchell IIi | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-30 |
| 1912523457 | Driss Zine | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-21 |
| 1619599081 | Kai Kang | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-05-08 |
| 1487281671 | Allison Tharakan | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-26 |
| 1598391435 | Gerald Shane Taylor | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-22 |
| 1982230140 | Catherine Parks Chantrill | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1477736304 | Scott David Humble | Pathology | 5423 Shaker Heights Ln, Raleigh, NC 27613-1490 | 2007-12-13 |
| 1952378846 | John Dewitt Benson | Pathology | 4440 Lake Boone Trl, Raleigh, NC 27607-7505 | 2006-03-01 |
| 1477704443 | Wake Medical Laboratory Consultants Inc | Pathology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2008-10-08 |
| 1063687564 | Charles Blake Hutchinson | Pathology | 4420 Lake Boone Trl, Raleigh, NC 27607 | 2008-04-25 |
| 1366628497 | Christine N Sillings | Pathology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2008-01-18 |
| 1134313406 | Michael Andrew Huening | Pathology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2007-08-30 |
| 1598842239 | Ahren Charles Rittershaus | Pathology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-11-01 |
| 1063445377 | Fumiko Catrina Reading | Pathology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2006-07-09 |
| 1295767820 | Dana Copeland | Pathology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-07-06 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on DR. VINCENT CHARLES SMITH.
| 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.