DR. SCOTT FARR SMITH (NPI# 1629057427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629057427 |
| Entity Type | Individual |
| Full Name | DR. SCOTT FARR SMITH |
| Credential | M.D. |
| Practice Address |
1017 Delaware Ave Mccomb MS 39648-3827 |
| Practice Telephone | 6012501122 |
| Practice Fax Number | 6012500290 |
| Mailing Telephone | 6012501122 |
| Mailing Fax Number | 6012500290 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 13213 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RAILROAD | 930048105 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544808 | Scott Adam Smith | Specialist | 5602 184th St, Fresh Meadows, NY 11365-2215 | 2017-01-16 |
| 1184068918 | Scott Michael Smith | Dentist | 5819 Highway 6 Ste 350, Missouri City, TX 77459-4070 | 2013-04-23 |
| 1780926931 | Scott Adam Smith | Orthopaedic Surgery | 17600 Shamrock Blvd, Westfield, IN 46074-7002 | 2013-03-25 |
| 1811244155 | Scott Allen Smith | Counselor | 300 Trophy Club Dr., Ste. 600, Trophy Club, TX 76262-5416 | 2012-08-06 |
| 1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
| 1043516305 | Scott A Smith | Occupational Therapist | 35634 E County Road 1540, Pauls Valley, OK 73075-8722 | 2011-02-03 |
| 1508099284 | Scott Cameron Smith | Dentist | 25099 Starr St, Loma Linda, CA 92354-2813 | 2009-08-28 |
| 1205062270 | Scott Matthew Smith | Psychologist | 5755 Violeta Ave, Atascadero, CA 93422-3125 | 2009-06-04 |
| 1487815031 | Scott Smith | Social Worker | 700 W University Dr, #139, Tempe, AZ 85281-3467 | 2008-06-17 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| Street Address |
1017 DELAWARE AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851370795 | John Andrew Watson | Emergency Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-01-10 |
| 1578084521 | Christopher Harvey Bracey | Family Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2017-06-29 |
| 1538257654 | Clifton Dale Williams | Emergency Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-10-11 |
| 1568473270 | Jackie Eugene Brister | Nurse Practitioner | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-08-10 |
| 1174579338 | Statcare Pllc | Clinic/Center | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-05-26 |
| 1699754572 | Brett Bienville Tisdale | Emergency Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-01-10 |
| 1730168618 | Darryl Temple | Emergency Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013013960 | Thomas Charles Evans Jr. | Emergency Medicine | 1023 Hillshire Dr, Mccomb, MS 39648-7570 | 2006-09-16 |
| 1851370795 | John Andrew Watson | Emergency Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-01-10 |
| 1477195972 | Relias Emergency Medicine Specialists of Mccomb, LLC | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2019-10-16 |
| 1275085342 | Streambed Emergency Physicians LLC | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2016-10-25 |
| 1376905901 | Ebony Juakali | Emergency Medicine | 120 5th Ave, Mccomb, MS 39648 | 2016-03-23 |
| 1164844163 | Mississippi Emergency Physician Services LLC | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2014-01-09 |
| 1437398260 | Gulfport Emergency Physicians | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2009-02-18 |
| 1578639449 | Brett Ferman | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2006-11-24 |
| 1538257654 | Clifton Dale Williams | Emergency Medicine | 1017 Delaware Ave, Mccomb, MS 39648-3827 | 2006-10-11 |
| 1326067083 | Joann K. Schnegg | Emergency Medicine | 212 Marion Ave, Mccomb, MS 39648-2706 | 2006-07-19 |
| Find all providers in MCCOMB | ||||
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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.