DR. EARL C SMITH (NPI# 1760483614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760483614 |
| Entity Type | Individual |
| Full Name | DR. EARL C SMITH |
| Credential | M.D. |
| Practice Address |
1501 S California Ave Chicago IL 60608-1732 |
| Mailing Address |
26460 Network Pl Chicago IL 60674-0035 |
| Practice Telephone | 7732576730 |
| Mailing Telephone | 7087862900 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-042187 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036-042187 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-042187-2 | 05 | |
| MEDICARE PTAN | L35338 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861527244 | Earl F Smith | Dentist | 441 21st St, Ashland, KY 41101 | 2007-02-23 |
| 1922100197 | Earl Phillip Smith | Dentist | 617 Hartsville Pike, Gallatin, TN 37066 | 2006-09-01 |
| 1508827007 | Earl C Smith Jr. | Orthopaedic Surgery | 320 S Polk St, Suite 300, Amarillo, TX 79101-1426 | 2006-04-01 |
| 1336550771 | Earl Scott Smith | Dentist | 100 Professional Ct, Mauldin, SC 29662-3257 | 2014-05-19 |
| 1780846691 | Earl Arthur Smith | Pediatrics | 5124 N Armenia Ave, Tampa, FL 33603-1406 | 2008-07-01 |
| 1043338478 | Earl Edgar Smith IIi | Emergency Medicine | 1150 N Loop 1604 W, Suite 108, #622, San Antonio, TX 78248-4500 | 2007-03-26 |
| 1154462679 | Earl Justice Smith IIi | Psychiatry & Neurology | 1061 Harmon Ave Ste 1d03, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2007-02-09 |
| 1902962095 | Earl Laird Smith | Physical Medicine & Rehabilitation | 1250 Broadway, Vnsny Hospice Care, 4th Floor, New York, NY 10001-3701 | 2006-12-31 |
| Street Address |
1501 S CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118856 | Robert C Parker | Internal Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2005-07-14 |
| 1568094803 | Klaudia Magdalena Gwozdz | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2020-02-05 |
| 1578036422 | Britney Kummerer | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2019-01-03 |
| 1114405164 | Katya Tapia | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-08-01 |
| 1487140166 | Rayman Johal | Family Medicine | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-07-06 |
| 1871092940 | Maruf Yinusa | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2018-02-05 |
| 1114456134 | Joanna Villacorta Griffin | Social Worker | 1501 S California Ave, Chicago, IL 60608-1732 | 2017-06-05 |
| 1982149159 | Carmen Murillo | Nurse Practitioner | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-12-27 |
| 1558819821 | Man Ye | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-09-15 |
| 1285180430 | Emily Arlene Grace | Physician Assistant | 1501 S California Ave, Chicago, IL 60608-1732 | 2016-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1952656167 | Primecare Nephrology & Hypertension Sc Corp | Internal Medicine | 4810 S Kenwood Ave, Chicago, IL 60615-2016 | 2012-07-13 |
| 1558650697 | Stephanie Michelle Toth-manikowski | Internal Medicine | 820 S Wood St # Mc793, Chicago, IL 60612 | 2011-03-29 |
| 1326372855 | Daniel Fantus | Internal Medicine | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2009-09-30 |
| 1487882791 | Sylvester Barnes Iv | Internal Medicine | 900 S Clark St Apt 1801, Chicago, IL 60605 | 2009-06-24 |
| 1952551517 | Jane Vernik Md, S.c. | Internal Medicine | 637 South Wood Street St 215, Division of Nephrology, Durand Building, Chicago, IL 60612 | 2008-09-19 |
| 1073643193 | Malathi Shah | Internal Medicine | 1625 E 75th St Ste 328, Chicago, IL 60649-3603 | 2007-03-07 |
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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.