DR. TERRENCE EDWARD SMITH (NPI# 1629152897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629152897 |
| Entity Type | Individual |
| Full Name | DR. TERRENCE EDWARD SMITH |
| Credential | M.D. |
| Practice Address |
52992 Sacramento Street Box 69 Clarksburg CA 95612-0069 |
| Practice Telephone | 9167441081 |
| Mailing Telephone | 9167441081 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G 42590 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G425900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013377159 | Terrence Smith | Specialist/Technologist | 223 Albany Dr Ne, Huntsville, AL 35811-8743 | 2016-03-02 |
| 1649391483 | Terrence Matthew Smith | Dentist | 815 Logan Blvd, Altoona, PA 16602-4141 | 2007-04-02 |
| 1285909846 | Terrence Smith | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2012-03-15 |
| 1396894556 | Terrence T Smith | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2007-01-09 |
| 1922195056 | Terrence Smith | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| Street Address |
52992 SACRAMENTO STREET BOX 69 |
| City | CLARKSBURG |
| State | CA |
| Zip Code | 95612-0069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341354 | Robin M Wong | Dietitian, Registered | 51200 Pumphouse Road, Clarksburg, CA 95612 | 2020-06-23 |
| 1538170253 | Richard Anthony Karp | Internal Medicine | 2221 Martin Luther King Way, Oakland, CA 95612 | 2006-08-10 |
| 1225226434 | John M Gilbert | Counselor | 4396 Holland Rd, Clarksburg, CA 95612-5070 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730169 | Mary Elizabeth Frame | Registered Nurse | 2645 Crooked Run Rd, Clarksburg, WV 26301-6769 | 2020-11-06 |
| 1871194688 | Billie Sue Griffith | Technician | 366 Chicken Farm Rd, Clarksburg, WV 26301-6550 | 2020-11-06 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679881 | Lila Mae Friend | Technician | 160 Sand St, Clarksburg, WV 26301-6008 | 2020-11-04 |
| 1336749126 | Priority Mobility LLC | Non-emergency Medical Transport (VAN) | 12117 Pond Pine Dr, Clarksburg, MD 20871-4474 | 2020-10-29 |
| 1598362220 | Brandie Moore | Technician | 236 Park Blvd, Clarksburg, WV 26301-3521 | 2020-10-06 |
| 1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
| 1386250678 | Amanda Culberson | Technician | 4201 Oakmound Dr, Clarksburg, WV 26301-9457 | 2020-09-22 |
| 1396351292 | Carla S Thayer | Technician | 5054 Ash St, Clarksburg, WV 26301-6919 | 2020-09-17 |
| 1528673878 | Ati Holding LLC | Occupational Therapist | 22750 Newcut Rd Ste D1, Clarksburg, MD 20871-5334 | 2020-09-14 |
| Find all providers in CLARKSBURG | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659635 | Larry John Kachik | Family Medicine | 135 Kennedy Rd, Clarksburg, PA 15725-8701 | 2008-05-10 |
| 1447436407 | Desirae Shavon Alasky | Family Medicine | 1664 E Pike St, Clarksburg, WV 26301-6011 | 2008-01-21 |
| 1760581326 | Dominick Ryan Woofter | Family Medicine | 1664 E Pike Street, Clarksburg, WV 26301-6011 | 2006-09-21 |
| 1366540106 | William G. Bowles | Family Medicine | 2673 Davisson Run Rd Ste 101, Clarksburg, WV 26301-6838 | 2006-09-20 |
| 1366553166 | Michael T Montgomery | Family Medicine | 469 Emily Dr, Clarksburg, WV 26301-5512 | 2006-08-31 |
| 1316917719 | Karen A Glogowski | Family Medicine | 1 Medical Center Dr., Clarksburg, WV 26301 | 2006-01-26 |
| 1538147921 | Haney Wahba | Family Medicine | 29 Saltsburg Rd, Clarksburg, PA 15725-7400 | 2006-01-05 |
| 1598746562 | Dana Eugene Bragg | Family Medicine | 4 Hospital Plz, Suite 304, Clarksburg, WV 26301-9327 | 2005-11-08 |
| 1013238369 | Jill L Taylor Phillips | Family Medicine | 1 Medical Center Drive, Suite 2, Clarksburg, WV 26301-4199 | 2010-06-21 |
| 1396066692 | Lea Angela M Singzon | Family Medicine | 2673 Davisson Run Rd Ste 101, Clarksburg, WV 26301-6838 | 2010-06-21 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 95612 |
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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.