DWAYNE V SMITH (NPI# 1619969904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619969904 |
| Entity Type | Individual |
| Full Name | DWAYNE V SMITH |
| Credential | MD |
| Practice Address |
4900 Houston Rd Florence KY 41042-4824 |
| Practice Telephone | 8592124625 |
| Practice Fax Number | 8592124638 |
| Mailing Telephone | 8592124625 |
| Mailing Fax Number | 8592124638 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 23626 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 020049483 | 01 |
| KY | RR MEDICARE | P01134522 | 01 |
| IN | 200347010A | 05 | |
| KY | 64236268 | 05 | |
| OH | 2626582 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417499054 | Dwayne Smith | Occupational Therapist | 6381 Live Oak Ave Sw, Ocean Isle Beach, NC 28469-4741 | 2016-11-14 |
| 1861669251 | Dwayne E Smith | Physical Therapist | 3600 W Bethel Ave., Muncie, IN 47304-5407 | 2008-05-14 |
| 1720292022 | Dwayne Patrick Smith | Physical Therapy Assistant | 1103 Koen Creek Ct. Apt. A, Park Hills, MO 63601 | 2007-05-09 |
| 1265699342 | Dwayne Eugene Smith | Counselor | 6077 Frantz Rd, Suite 101, Dublin, OH 43017-3325 | 2008-05-17 |
| 1245227982 | Dwayne S Smith | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-09-27 |
| Street Address |
4900 HOUSTON RD |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443332 | Teanna Nichole Nixon | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-07-04 |
| 1245855311 | Molly Robbins | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-06-14 |
| 1912533191 | Emily Lodwick | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-03-19 |
| 1164060455 | Lynne Ann Webb | Case Manager/Care Coordinator | 4900 Houston Rd, Florence, KY 41042-4824 | 2019-12-17 |
| 1063930790 | Brittany M Diehl | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-09-01 |
| 1275066953 | Rachel Wagner | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-04-10 |
| 1568901478 | Keri Sands | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-13 |
| 1710425731 | Cherie Tewes Page | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-09 |
| 1902344203 | David Montgomery I | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-07 |
| 1376081778 | Dana Erhart | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326303348 | Robert Watkins Youngblood | Surgery | 1517 Tanglewood Cir, Florence, SC 29501-5579 | 2012-07-05 |
| 1548467152 | Craig Lee Selander | Surgery | 800 E. Cheves St, Ste 260, Florence, SC 29506-2652 | 2007-06-27 |
| 1699726927 | Phillip H Greenberg | Surgery | 1408 Lazar Pl, Florence, SC 29501 | 2006-05-12 |
| 1881642759 | Gary L Hester | Surgery | 2111 Cloyd Blvd, Florence, AL 35630-1503 | 2006-05-04 |
| 1174587257 | William A Collignon Jr. | Surgery | 501 East Dr Hicks Blvd, Suite A, Florence, AL 35630 | 2006-04-14 |
| 1124082789 | Shoals Surgical Group LLC | Surgery | 501 E Dr Hicks Blvd Ste A, Florence, AL 35630-5742 | 2006-04-12 |
| 1952395709 | Mark S. Pack | Surgery | 805 Pamplico Hwy Ste A230, Florence, SC 29505-6057 | 2005-09-08 |
| 1639599640 | Christopher A Guidry | Surgery | 800 E Cheves St Ste 260, Florence, SC 29506-2652 | 2014-04-17 |
| 1205276052 | Hatem Abdallah | Surgery | 1594 Freedom Blvd Ste 100, Florence, SC 29505-6046 | 2013-06-26 |
| 1720347024 | Johnson B Walker | Surgery | 800 E Cheves St Ste 260, Florence, SC 29506 | 2012-05-08 |
| Find all providers in FLORENCE | ||||
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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.