WENDY E SMITH (NPI# 1730239153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730239153 |
| Entity Type | Individual |
| Full Name | WENDY E SMITH |
| Credential | MD |
| Practice Address |
1577 Congress St 2nd Floor Portland ME 04102-2169 |
| Mailing Address |
301 Us Route 1 Building C Scarborough ME 04074-9701 |
| Practice Telephone | 2076621622 |
| Practice Fax Number | 2077741814 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD15492 | ME | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD15492 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30201383 | 05 | |
| ME | 246790099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831746205 | Wendy R Smith | Student in an Organized Health Care Education/Training Program | 201 E Ogden Ave Ste 18, Hinsdale, IL 60521-3633 | 2019-08-21 |
| 1407368897 | Wendy L Smith | Case Manager/Care Coordinator | 18862 Savage Ct, Collinsville, OK 74021-6162 | 2017-10-25 |
| 1962755181 | Wendy Carter Smith | Occupational Therapist | 4988 Hamlin Cir, Mims, FL 32754-5776 | 2012-10-25 |
| 1821381823 | Wendy Rae Smith | Massage Therapist | 521 Double Creek Ln, Ellensburg, WA 98926-9179 | 2011-05-24 |
| 1508161191 | Wendy Anne Smith | Social Worker | 277 Foxbrook Ln, Louisa, VA 23093-4042 | 2011-01-13 |
| 1801190996 | Wendy Leigh Smith | Non-emergency Medical Transport (VAN) | 4217 Colchester Dr, Kensington, MD 20895-4018 | 2011-01-04 |
| 1861716615 | Wendy Smith | Occupational Therapist | 54844 Laurel Dr, Macomb, MI 48042-2222 | 2010-03-23 |
| 1710215397 | Wendy E Smith | Counselor | 18 W Mercer St Ste 360, Seattle, WA 98119-3993 | 2009-11-19 |
| 1124297239 | Wendy L Smith | Social Worker | 145 Lisbon St Ste 106, Lewiston, ME 04240-7235 | 2008-02-22 |
| 1770761306 | Wendy Smith | Technician/Technologist | 8424 N Knoxville Ave, Peoria, IL 61615-2032 | 2008-02-06 |
| Street Address |
1577 CONGRESS ST 2ND FLOOR |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386602290 | Melanie Lynne Leu | Family Medicine | 1577 Congress St, Portland, ME 04102 | 2006-05-02 |
| 1548730567 | Peds Coverage PC | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2018-12-03 |
| 1013328871 | Kassi Marie Swallow | Dietitian, Registered | 1577 Congress St, Portland, ME 04102-2169 | 2014-05-15 |
| 1457786485 | Cassie M Green | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2013-09-10 |
| 1023454089 | Samantha Dunn | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2013-05-17 |
| 1942544580 | Erika Lynn North | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2012-11-20 |
| 1215211487 | Johanna H. Anderson | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2011-10-05 |
| 1497075592 | Amy E Vincent-cross | Social Worker | 1577 Congress St, Portland, ME 04102 | 2010-06-11 |
| 1376777136 | Catherine S Curry | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2009-05-08 |
| 1376736579 | Amanda S Evans Powell | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2007-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720407166 | Kimberly Ann Kripps | Medical Genetics | 3181 Sw Sam Jackson Park Rd, 4502/l103, Portland, OR 97239 | 2014-04-14 |
| 1417191081 | Nicoleta Cristina Voian | Medical Genetics | 4805 Ne Glisan St Ste 6n50, Portland, OR 97213-2933 | 2009-04-28 |
| 1326306721 | Andrea Klunder Petersen | Medical Genetics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2012-04-24 |
| 1558686394 | Caleb Charles Rogers | Medical Genetics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2010-04-05 |
| 1700025681 | Wojciech Krzysztof Wiszniewski | Medical Genetics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-02-17 |
| 1801054531 | Stephanie Esther Dukhovny | Medical Genetics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-05-29 |
| 1902012180 | Amy C Yang | Medical Genetics | 707 Sw Gaines St, Portland, OR 97239-2901 | 2007-05-15 |
| 1104976638 | Rosemarie Smith | Medical Genetics | 1577 Congress St, 2nd Floor, Portland, ME 04102-2169 | 2007-01-10 |
| 1023103652 | Jacob Anderson Reiss | Medical Genetics | 3325 N Interstate Ave, Portland, OR 97227-1022 | 2006-10-03 |
| 1912915471 | Robb Edwin Moses | Medical Genetics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-03 |
| Find all providers in PORTLAND | ||||
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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.