MS. SUZANNE J SMITH (NPI# 1760582621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760582621 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE J SMITH |
| Credential | PA |
| Practice Address |
109 Midlands Ct Ste A West Columbia SC 29169-3456 |
| Mailing Address |
115 Midlands Ct West Columbia SC 29169-3456 |
| Practice Telephone | 8034577000 |
| Practice Fax Number | 8034577001 |
| Mailing Telephone | 8034577000 |
| Mailing Fax Number | 8034577001 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1614 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1205PA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1235793696 | Suzanne Lynn Smith | Behavior Technician | 26 Haviland St, Worcester, MA 01602-2109 | 2019-04-30 |
| 1659891638 | Suzanne Marie Smith | Speech-Language Pathologist | 1239 Keener Rd S, Marion, OH 43302-1110 | 2017-06-21 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1578914081 | Suzanne Sisson Smith | Nurse Practitioner | 838 Old George Washington Hwy N Ste T&u, Chesapeake, VA 23323-2209 | 2016-06-27 |
| 1013375344 | Suzanne Smith | Physical Therapist | 4706 Cedarfield Rd, Katy, TX 77494-3304 | 2016-02-01 |
| 1275911273 | Suzanne Hummel Smith | Dietitian, Registered | 589 Skippack Pike Ste 400, Blue Bell, PA 19422-2159 | 2015-05-11 |
| 1194113308 | Suzanne Lyn Smith | Social Worker | 53 W Jackson Blvd Ste 1111, Chicago, IL 60604-3573 | 2014-12-23 |
| 1255776928 | Suzanne Smith | Registered Nurse | 41a Rockland St, Holliston, MA 01746-1435 | 2013-05-07 |
| 1679866693 | Suzanne Mcguffin Smith | Chiropractor | 1123 3rd St N, Jacksonville Beach, FL 32250 | 2011-05-24 |
| Street Address |
109 MIDLANDS CT STE A |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275602153 | Carolina Neuro Specialists | Neurological Surgery | 109 Midlands Ct Ste A, West Columbia, SC 29169-3456 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952631988 | Michelle Lynn Evans | Physician Assistant | 105 W Hospital Dr, West Columbia, SC 29169-3405 | 2010-01-14 |
| 1023538030 | Elizabeth M Mcmicken | Physician Assistant | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2017-06-21 |
| 1295828663 | Tysha S Holmes | Physician Assistant | 103 Sum Mor Dr, West Columbia, SC 29169-4828 | 2006-09-30 |
| 1639151475 | Shelley G. Stevens | Physician Assistant | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on MS. SUZANNE J 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.