MS. STACI CHARLENE SMITH (NPI# 1558576454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558576454 |
| Entity Type | Individual |
| Full Name | MS. STACI CHARLENE SMITH |
| Credential | DO |
| Practice Address |
2828 1st Ave Ste 204 Huntington WV 25702-1236 |
| Practice Telephone | 3045257111 |
| Practice Fax Number | 3045257112 |
| Mailing Telephone | 3045257111 |
| Mailing Fax Number | 3045257112 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2458 | WV | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
58.001983 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1558576454 (THSPP) | 05 | |
| WV | GROUP MEDICARE | B441 | 01 |
| WV | GROUP MEDICAID | 3810024049 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505852 | Staci Smith | Licensed Practical Nurse | 1428 Oxford Ave Nw, Canton, OH 44703-3079 | 2019-05-30 |
| 1821459843 | Staci Smith | Home Health Aide | 915 Miles Ave Nw, Canton, OH 44708-3657 | 2016-03-18 |
| 1467073080 | Staci Smith | Social Worker | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2020-05-05 |
| 1194357277 | Staci Megan Smith | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-02-06 |
| 1154775450 | Staci Irene Ragan Smith | Physician Assistant | 13610 Bruce B Downs Blvd, Tampa, FL 33613-4650 | 2016-04-22 |
| 1639440159 | Staci Smith | Social Worker | 9500 Malech Road, San Jose, CA 95138 | 2012-01-13 |
| Street Address |
2828 1ST AVE STE 204 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25702-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429523 | Katrina Nicole Watkins | Nurse Practitioner | 2828 1st Ave Ste 204, Huntington, WV 25702-1236 | 2020-08-25 |
| 1851892525 | Stephanie Butcher Welker | Nurse Practitioner | 2828 1st Ave Ste 204, Huntington, WV 25702-1236 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
| 1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
| 1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
| 1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
| 1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
| 1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
| Find all providers in zip 25702 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421648 | Dev Raj Rellan | Internal Medicine | 5170 Us Route 60 E, Huntington, WV 25705-2004 | 2006-06-06 |
| 1902215908 | Ahlim Al Sanani | Internal Medicine | 1690 Medical Center Drive, Huntington, WV 25701 | 2014-08-05 |
| 1750710166 | Huntington Hospitalist Group Inc | Internal Medicine | 2900 1st Ave, 2 East, Cornerstone Hospital, Huntington, WV 25702-1241 | 2013-11-06 |
| 1992093678 | Iheanyichukwu Ogu | Internal Medicine | 1249 15th St, Huntington, WV 25701-3662 | 2011-07-15 |
| 1659695765 | Kumar Nephrology and Hypertension Inc | Internal Medicine | 1656 13th Ave, Huntington, WV 25701-3829 | 2010-03-18 |
| 1144481565 | Robin Arora | Internal Medicine | 1656 13th Ave, Huntington, WV 25701-3829 | 2008-06-18 |
| 1194929364 | Sunil Kurien George | Internal Medicine | 325 Park Ave, Suite 101, Huntington, NY 11743-2779 | 2007-06-12 |
| 1740401876 | Alvin E Brent Jr. | Internal Medicine | 612 6th Ave, Huntington, WV 25701-2104 | 2007-05-02 |
| 1013927565 | Richard B Schwarz | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2006-08-08 |
| 1548286123 | David Lawrence Staley | Internal Medicine | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2006-07-15 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25702 |
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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.