DR. SAMANTHA SMITH (NPI# 1659716223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659716223 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA SMITH |
| Credential | MD |
| Practice Address |
800 Howard Ave Fl 1 New Haven CT 06519 |
| Mailing Address |
Yale Department of Orthopedics and Rehabilitation Po Box 208071 New Haven CT 06520-8071 |
| Practice Telephone | 2037852579 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 56521 | CT | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
56521 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 56521 | CT | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
56521 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 789 Howard Ave, Adult Primary Care Center, New Haven, CT 065191304 | 2037857941 | 2037853922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1548742398 | Samantha Blaire Smith | Specialist/Technologist | 1946 Tennyson Ave Ne, Massillon, OH 44646-2600 | 2018-08-29 |
| 1831683267 | Samantha Smith | Physical Therapy Assistant | 334 Crandall Way, Spartanburg, SC 29301-5372 | 2018-06-19 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1912366246 | Samantha Michelle Smith | Specialist/Technologist | 2305 Milan Rd, Sandusky, OH 44870-4997 | 2016-02-15 |
| 1972977338 | Samantha Marie Smith | Nurse Practitioner | 9219 Cypresswood Cir, Tampa, FL 33647-2431 | 2015-11-23 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1386991586 | Samantha Paige Smith | Case Manager/Care Coordinator | 902 S. Myrtle Ave., Monrovia, CA 91016 | 2012-08-07 |
| Street Address |
800 HOWARD AVE FL 1 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578759536 | Charlene Olivia Justin | Physician Assistant | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2007-09-23 |
| 1841847365 | Megan Eiser-nolan | Nurse Practitioner | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2019-08-20 |
| 1720568447 | Jennifer Ann Valle | Orthopaedic Surgery | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2018-08-21 |
| 1306368287 | Kyle Humphrey | Nurse Practitioner | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2017-07-12 |
| 1760828172 | David Emmanuel Gutierrez | Physical Medicine & Rehabilitation | 800 Howard Ave Fl 1, New Haven, CT 06519 | 2013-05-14 |
| 1740548023 | Daniel Wiznia | Orthopaedic Surgery | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2012-04-24 |
| 1568773463 | Diren Arsoy | Orthopaedic Surgery | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2010-06-24 |
| 1093973620 | Caroline Joan Schmidt | Psychologist | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2008-05-30 |
| 1598938078 | Amy Haydon-ryan | Physician Assistant | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
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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.