SMITH DERMATOLOGY P.C. (NPI# 1770767337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770767337 |
| Entity Type | Organization |
| Organization Name | SMITH DERMATOLOGY P.C. |
| Practice Address |
1705 Main Ave Sw Suite B Cullman AL 35055-7206 |
| Practice Telephone | 2567398260 |
| Mailing Telephone | 2567398260 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | DR. SCARLETTE D SMITH (OWNER) |
| Authorized Official Telephone | 2567398260 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15896 | AL | Other Service Providers |
| Street Address |
1705 MAIN AVE SW SUITE B |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457507 | Henry S Beeler | Family Medicine | 1705 Main Ave Sw, Suite B, Cullman, AL 35055-7206 | 2005-06-16 |
| 1356715874 | Ashley Taylor | Nurse Practitioner | 1705 Main Ave Sw, Suite B, Cullman, AL 35055-7206 | 2015-11-20 |
| 1649687237 | Linda Sandra Thomas | Nurse Practitioner | 1705 Main Ave Sw, Suite B, Cullman, AL 35055-7206 | 2014-07-16 |
| 1992963193 | Nassetta Pediatric Dentistry, LLC | Dentist | 1705 Main Ave Sw, Suite A, Cullman, AL 35055-7206 | 2008-05-26 |
| 1295788222 | Heritage Diagnostic Center, LLC | Clinic/Center | 1705 Main Ave Sw, Suite C, Cullman, AL 35055-5250 | 2006-05-19 |
| 1386636132 | Scarlette D Smith | Dermatology | 1705 Main Ave Sw, Suite B, Cullman, AL 35055-7206 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1417045360 | Tammie Michelle Friedrichs | Specialist | 104 4th Ave Ne, Cullman, AL 35055-1903 | 2006-10-10 |
| 1346261526 | Johnny Que Nacilla | Specialist | 1750 Al Highway 157, Cullman, AL 35058-3622 | 2006-07-22 |
| 1750315511 | Thomas Anthony Richard | Specialist | 1800 Al Hwy 157, Suite 302, Cullman, AL 35058-0600 | 2006-07-10 |
| 1164404042 | Mark K Addison | Specialist | 1800 Al Highway 157 Ste 101, Cullman, AL 35058-1273 | 2005-11-16 |
| 1588669212 | James Willard Davis | Specialist | 1948 Al Highway 157, Ste 450, Cullman, AL 35058-0643 | 2005-06-17 |
| 1689679524 | Rodney Clark Sanders | Specialist | 1848 Parkland Drive Ne, Cullman, AL 35058 | 2005-06-16 |
| 1841802766 | Felicia Humphries | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2020-08-21 |
| 1093327934 | Kimberly Mckinney | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2020-08-21 |
| 1477079192 | Devan Freeman | Specialist | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2017-08-15 |
| Find all providers in CULLMAN | ||||
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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.