DAVID SMITH (NPI# 1720016124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720016124 |
| Entity Type | Individual |
| Full Name | DAVID SMITH |
| Credential | M.D. |
| Practice Address |
1301 33rd St S Saint Cloud MN 56301-9668 |
| Mailing Address |
251 County Rd 120 Saint Cloud MN 56303-4813 |
| Practice Telephone | 3202518181 |
| Practice Fax Number | 3202516942 |
| Mailing Telephone | 3202028949 |
| Mailing Fax Number | 3202020756 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 47571 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 173436900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1861028235 | David J Smith | Counselor | 841 Central Ave N # C114, Kent, WA 98032-2016 | 2020-03-18 |
| 1306470406 | David Smith | Counselor | 556 Harvick Cir, Stockbridge, GA 30281-4460 | 2020-02-27 |
| 1740811322 | David Smith | Student in an Organized Health Care Education/Training Program | 1620 Belvedere Pl, Round Rock, TX 78665-5658 | 2020-01-31 |
| 1407320880 | David Smith | Physical Therapist | 774 Christiana Rd Ste 3, Newark, DE 19713-4219 | 2019-01-18 |
| 1982177481 | David Culver Smith | Counselor | 15739 Tambour Ct, Chesterfield, MO 63017-7224 | 2019-01-07 |
| 1053895557 | David Wayne Smith Jr. | Pharmacist | 4651 S Custer Rd Apt 2203, Mckinney, TX 75070-8113 | 2018-09-20 |
| 1295212959 | David Kevin Smith | Technician/Technologist | 10041 Us Highway 19, Port Richey, FL 34668-3785 | 2018-07-25 |
| 1326540279 | David Crawford Smith | Internal Medicine | 3260 Adams Rd, Sacramento, CA 95864-5059 | 2018-03-07 |
| 1508370198 | David Shane Smith | Counselor | 2485 Maryville Dr, Dubuque, IA 52001-1663 | 2017-11-19 |
| Street Address |
1301 33RD ST S |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912559 | Kristen J Heffern | Nurse Practitioner | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2005-06-20 |
| 1649885922 | Amal Mohamed Farah | Family Medicine | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-09-13 |
| 1275163388 | Jamie Rae Pohlmann | Physical Therapist | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-01-17 |
| 1679133052 | Stephanie Marie Gagelin | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2019-06-18 |
| 1063935955 | Amanda Marilyn Michalski | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-21 |
| 1669994315 | Centracare Clinic | Clinic/Center | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-14 |
| 1568811529 | Carly Elizabeth Schmitt | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-06-09 |
| 1548616576 | Brianna Thour | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-05-09 |
| 1427439454 | Noah Helgerson | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2015-06-16 |
| 1205225224 | Jamie Marie Dockendorf | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2015-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| 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 |
|---|---|---|---|---|
| 1679724272 | Hala Abouelmagd | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2008-10-02 |
| 1093859654 | Leslie Jean Mortland | Pediatrics | 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric and Adolescent, Saint Cloud, MN 56303-5000 | 2007-02-16 |
| 1679564728 | Weining Hu | Pediatrics | 1511 Northway Dr Ste 201, Saint Cloud, MN 56303-1276 | 2005-10-28 |
| 1942816533 | St. Cloud Pediatrics LLC | Pediatrics | 1511 Northway Dr Ste 201, Saint Cloud, MN 56303-1276 | 2020-09-18 |
| 1457826471 | Monica Ester Lee | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2018-10-05 |
| 1487191664 | Shauna Mullings | Pediatrics | 1900 Centracare Circle #1300, Centracare Clinic Pediatric/adolescent Medicine, Saint Cloud, MN 56303-5000 | 2017-01-25 |
| 1205280047 | Nathan Charles Messbarger | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2016-04-18 |
| 1427432590 | Tots & Teens Pediatrics, LLC | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2015-07-17 |
| 1982084976 | Kelsey Jackson | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303 | 2015-06-04 |
| 1548680937 | Nicholas Ryan | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2014-04-24 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on DAVID 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.