STANLEY R SMITH


Address: 330 E Mitchell St, #210, Petoskey, MI 49770-2671
Phone: 7346777400

STANLEY R SMITH (NPI# 1578529178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578529178
Entity Type Individual
Full Name STANLEY R SMITH
Credential MD
Practice Address 330 E Mitchell St
#210
Petoskey
MI 49770-2671
Mailing Address Po Box 1108
Attn: Barb Simmons
Ann Arbor
MI 48106-1108
Practice Telephone 7346777400
Practice Fax Number 7346777407
Mailing Telephone 2316275601
Mailing Fax Number 2316271592
Enumeration Date 2006-04-22
Last Update Date 2010-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301030812 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS GROUP PIN 0B41005 01
MI 4372499 05

Other Providers STANLEY SMITH

NPI Name Taxonomy Address Enumeration
1780141747 Stanley Eugene Smith Nurse Practitioner 13301 N Meridian Ave Ste 101, Oklahoma City, OK 73120-8357 2019-02-26
1396971180 Stanley George Smith Counselor 1015 Terminal Dr, N/a, Moselle, MS 39459-9546 2009-06-07
1366576068 Stanley Thomas Smith Dentist 3609 Georgia Avenue Nw, Suite 3, Washington, DC 20010-1634 2007-03-15
1164551073 Stanley David Smith Specialist/Technologist 700 Percy St, S Williamsport, PA 17702-7522 2007-03-05
1861520231 Stanley Smith Sr. Pharmacist 83074 Hwy 9, Ashland, AL 36251 2007-02-28
1811033004 Stanley Montgomery Smith Dentist 3109 South 27th Street, Abilene, TX 79605-6239 2007-01-29
1023169687 Stanley R Smith Optometrist 580 N Meridian Rd, Kalispell, MT 59901 2007-01-12
1750488102 Stanley Warren Smith Dentist 5 The Serpentine, New Rochelle, NY 10801-3512 2006-09-20
1639272537 Stanley T Smith Jr. Internal Medicine 465 N Belair Rd Ste 2b, Evans, GA 30809-3190 2006-09-06
1851326953 Stanley A Smith Chiropractor 8421 Auburn Blvd Ste #105, Citrus Hts., CA 95610-0399 2006-07-11

Office Location

Street Address 330 E MITCHELL ST
#210
City PETOSKEY
State MI
Zip Code 49770-2671

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780231985 Olivia Michelle Seaman Pharmacist 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 2019-08-22
1649733148 Harbor Hall, Inc. Clinic/Center 302 Orchard Ridge Drive, Petoskey, MI 49770 2019-04-11
1053802942 Devin Hueston Dentist 231 State St Ste 3, Petoskey, MI 49770 2018-05-25
1720585037 Jacob Kenneth Tracy Counselor 410 E Lake Street, Suite 100, Petoskey, MI 49770 2018-04-12
1013424191 Timothy Robert La Gasse Nurse Practitioner 401 Connable Ave, Petoskey, MI 49770 2018-01-10
1609303676 Shauna Sue Stark Nurse Practitioner 560 W Mitchell St Ste 505, Petoskey, MI 49770 2017-05-22
1053851519 Maureen Todd Counselor 703 Emmet St, Petoskey, MI 49770 2017-03-03
1457719239 Hufford Vision & Eye Care, PC Optometrist 560 West Mitchell, Suite 214, Petoskey, MI 49770 2016-02-08
1053779439 Kaylyn Schiemann Specialist/Technologist 1980 Maxwell Rd, Petoskey, MI 49770 2016-02-01
1669839130 Stieber Pediatric Dentistry Pllc Clinic/Center 1605 Us 131 Highway, Petoskey, MI 49770 2016-01-28
Find all providers in zip 49770

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336626696 Quantum Medical Radiology of California, P.C. Radiology 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 2018-07-19
1073512687 Michael A Angileri Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2005-07-15
1073950945 Andrew Osetek Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2013-05-31
1467682971 Kimberly Sue Johnson Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2009-07-17
1043446834 Nel Rainier Go Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2009-06-07
1184843781 Michael William Kuhn Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2007-04-24
1477604874 Ryan R. Hoenicke Radiology 416 Connable Ave, Petoskey, MI 49770-2212 2007-01-15
1497775514 Bradley T Vanassche Radiology 1114 Charlevoix Ave, Petoskey, MI 49770-9701 2006-07-20
1811924160 Matthew L Visconti Md LLC Radiology 1114 Charlevoix Ave, Petoskey, MI 49770-9701 2006-06-26
1306883202 Matthew L Visconti Radiology 1114 Charlevoix Ave, Petoskey, MI 49770-9701 2006-05-31
Find all providers in PETOSKEY

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City PETOSKEY
Zip Code 49770

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Dataset Information

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.

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