SHANNON LEA SMITH MAXEY (NPI# 1669403093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669403093 |
| Entity Type | Individual |
| Full Name | SHANNON LEA SMITH MAXEY |
| Other Name | SHANNON LEA SMITH |
| Credential | M.D. |
| Practice Address |
2585 3rd Avenue Huntington WV 25703 |
| Mailing Address |
2585 3rd Ave Huntington WV 25703-1642 |
| Practice Telephone | 3047815138 |
| Practice Fax Number | 3046972086 |
| Mailing Telephone | 3046971396 |
| Mailing Fax Number | 3046972086 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22344 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2667038 | 05 | |
| WV | 3810005791 | 05 |
| Street Address |
2585 3RD AVENUE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533345 | Amanda K Bennett | Family Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-01-25 |
| 1174619837 | Stanley Samuel Masilamani | Internal Medicine | 2585 3rd Avenue, Huntington, WV 25703 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
| 1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
| 1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
| 1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
| Find all providers in zip 25703 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205126158 | Arthur Jay Schwager | Pediatrics | 21 Grouse Ln, Huntington, NY 11743-1028 | 2011-04-12 |
| 1770797839 | Sean Loudin | Pediatrics | 1600 Medical Center Drive, Ste 3500, Huntington, WV 25701 | 2007-05-09 |
| 1023048667 | Eileen P Sheehy | Pediatrics | 164 East Main Street, Huntington Pediatrics PC, Huntington, NY 11743 | 2006-07-03 |
| 1215980487 | Bruce Edward Gerberg | Pediatrics | 41 Fairview St, Huntington, NY 11743-3552 | 2006-05-18 |
| 1891759759 | Jacqueline R Ray | Pediatrics | 2915 3rd Ave, Huntington, WV 25702-1401 | 2006-04-17 |
| 1922062942 | James M Lewis | Pediatrics | 2915 Rear 3rd Ave, Huntington, WV 25702 | 2006-04-14 |
| 1639132418 | Duane A Hougendobler | Pediatrics | 2003 Stults Road, Suite 105, Huntington, IN 46750-1291 | 2006-04-11 |
| 1063475853 | Lourdu Selvaraj Savariar | Pediatrics | 2814 Theater Ave, Pediatric Medical Group Inc, Huntington, IN 46750-7978 | 2006-04-11 |
| 1760454656 | Lee A. Kurfist | Pediatrics | 205 East Main Street, Suite 2-8, Huntington, NY 11743-2923 | 2006-02-03 |
| 1265419436 | Balaji Govindaswami | Pediatrics | 1600 Medical Center Dr Ste 3500, Huntington, WV 25701-3655 | 2005-12-28 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25703 |
Please comment or provide details below to improve the information on SHANNON LEA SMITH MAXEY.
| 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.