SUSAN M SMITH (NPI# 1689684920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689684920 |
| Entity Type | Individual |
| Full Name | SUSAN M SMITH |
| Credential | MD |
| Practice Address |
401 North Live Oak Dr Moncks Corner SC 29461 |
| Mailing Address |
Po Box 11450 Westminster CA 92685-1450 |
| Practice Telephone | 8437618721 |
| Mailing Telephone | 8005098102 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 10949 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 109493 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1588115067 | Susan Smith | Counselor | 8491 N. Lake Blvd., Kings Beach, CA 96143 | 2016-10-19 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| Street Address |
401 NORTH LIVE OAK DR |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528078862 | Mary W Carruthers | Emergency Medicine | 401 North Live Oak Dr, Moncks Corner, SC 29461 | 2006-08-09 |
| 1992905368 | Kelly J Todd | Physician Assistant | 401 North Live Oak Dr, Moncks Corner, SC 29461 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| 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 |
|---|---|---|---|---|
| 1912166174 | Ronald Coleman Turner Jr. | Emergency Medicine | 730 Stoney Landing Road, Emergency Services, Moncks Corner, SC 29461 | 2008-06-03 |
| 1528078862 | Mary W Carruthers | Emergency Medicine | 401 North Live Oak Dr, Moncks Corner, SC 29461 | 2006-08-09 |
| 1326073339 | John F Walters | Emergency Medicine | 730 Stony Landing Road, Moncks Corner, SC 29461 | 2006-07-11 |
| 1952349888 | Christian D Graf | Emergency Medicine | 401 North Live Oak Drive, Moncks Corner, SC 29461 | 2006-06-03 |
| 1033458047 | Doctors Care Sc, Pa | Emergency Medicine | 459 N Highway 52, Moncks Corner, SC 29461-3924 | 2013-02-11 |
| 1104983055 | Roper Hospital Inc | Emergency Medicine | 730 Stony Landing Rd, Moncks Corner, SC 29461 | 2007-01-02 |
| 1821006719 | Harry E Ricker | Emergency Medicine | 401 North Live Oak Drive, Moncks Corner, SC 29461 | 2006-08-04 |
| 1053329938 | Trident Emergency Physicians LLC | Emergency Medicine | 401 N Live Oak Dr, Moncks Corner, SC 29461-5603 | 2006-08-04 |
| 1609882844 | Carl R Potts | Emergency Medicine | 730 Stony Landing Rd, Moncks Corner, SC 29461 | 2006-07-31 |
| 1699700609 | Robert M Anders | Emergency Medicine | 730 Stony Landing Rd, Moncks Corner, SC 29461 | 2006-07-11 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on SUSAN M SMITH.
| 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.