DR. STAFFORD MICHAEL SMITH (NPI# 1710913736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710913736 |
| Entity Type | Individual |
| Full Name | DR. STAFFORD MICHAEL SMITH |
| Credential | M.D. |
| Practice Address |
102 N Abington Rd Suite #103 Clarks Green PA 18411-2300 |
| Practice Telephone | 5705860246 |
| Practice Fax Number | 5705858970 |
| Mailing Telephone | 5705860246 |
| Mailing Fax Number | 5705858970 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD040434L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
102 N ABINGTON RD SUITE #103 |
| City | CLARKS GREEN |
| State | PA |
| Zip Code | 18411-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514456 | Leandra Nasser | Counselor | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2019-05-24 |
| 1336606631 | Alyssa Hurchick | Counselor | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2019-02-23 |
| 1396229191 | Courtney M Matoushek | Counselor | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2018-09-18 |
| 1467815233 | Mariah Ford | Massage Therapist | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2016-03-30 |
| 1083077853 | Tiffany Repsher | Massage Therapist | 102 N Abington Rd, Suite# 107, Clarks Green, PA 18411-2300 | 2016-03-30 |
| 1437400850 | Kara Lynn Mohan | Nurse Practitioner | 102 N Abington Rd, Suite 103, Clarks Green, PA 18411-2300 | 2012-09-25 |
| 1790095552 | Maggie M Miller | Chiropractor | 102 N Abington Rd, Suite 101d, Clarks Green, PA 18411-2300 | 2010-10-14 |
| 1366699829 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 102 N Abington Rd, Clarks Green, PA 18411-2300 | 2008-08-26 |
| 1629280540 | Behavioral Healthcare Center, P.C. | Psychologist | 102 N Abington Rd, Suite 105, Clarks Green, PA 18411-2300 | 2007-05-04 |
| 1891877643 | Kielty K Turner | Social Worker | 102 N Abington Rd, Suite 105, Clarks Green, PA 18411-2300 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609686 | Grand View Hospital | Internal Medicine | 700 Lawn Ave Fl 2, Sellersville, PA 18960-1548 | 2019-06-26 |
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1124409826 | Sanjog Kalra | Internal Medicine | 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 | 2015-06-18 |
| 1588905095 | Harvard Cardiovascular Inc | Internal Medicine | 362 Sprague Rd, Penn Valley, PA 19072-1124 | 2013-03-07 |
| 1669784880 | Paul Lewis Hermany II | Internal Medicine | 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 | 2010-07-02 |
| 1063651123 | Deepika Rao Kalisetti | Internal Medicine | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2009-02-13 |
| 1679591374 | Subrahmanyam Chivukula | Internal Medicine | 245 Mill Street, Bristol, PA 19007 | 2006-07-18 |
| 1891732541 | Gregory D Cox | Internal Medicine | 2135 Noll Dr Ste D, Lancaster, PA 17603-7602 | 2006-06-01 |
| 1811934565 | Scott T. Riebel | Internal Medicine | 1600 6th Ave Ste 108, York, PA 17403-2626 | 2006-06-01 |
| 1861440315 | Jethalal L Rambhia | Internal Medicine | 1200 Brooks Ln Ste 270, Jefferson Hills, PA 15025 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS GREEN |
| Zip Code | 18411 |
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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.