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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301030812 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS GROUP PIN | 0B41005 | 01 |
MI | 4372499 | 05 |
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 |
Street Address |
330 E MITCHELL ST #210 |
City | PETOSKEY |
State | MI |
Zip Code | 49770-2671 |
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 Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
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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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.