SMITHA SAMUEL (NPI# 1790977221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790977221 |
| Entity Type | Individual |
| Full Name | SMITHA SAMUEL |
| Credential | M.D. |
| Practice Address |
3003 Wakefield Dr Carpentersville IL 60110-2422 |
| Mailing Address |
Po Box 19656 Springfield IL 62794-9656 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 2175458853 |
| Mailing Fax Number | 2175450828 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 125-052368 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3003 WAKEFIELD DR |
| City | CARPENTERSVILLE |
| State | IL |
| Zip Code | 60110-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962450262 | Leticia Dacanay | Obstetrics & Gynecology | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2006-05-05 |
| 1508480161 | Patricia Gizelle Van Hoesel | Nurse Practitioner | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2020-05-29 |
| 1972780617 | Heather Jane Tod | Social Worker | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2008-01-24 |
| 1770611964 | Sarada Alla | Family Medicine | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2007-03-01 |
| 1538209077 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466168 | Jene Fer Tabaco | Physical Therapist | 104 Woodland Court 3b, Carpentersville, IL 60110 | 2020-01-08 |
| 1275013435 | Vanessa Retondo | Physical Therapist | 62 S Kennedy Dr, Carpentersville, IL 60110 | 2018-08-17 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1265831374 | Kelley Jean Spiro | Developmental Therapist | 5730 Breezeland Rd, Carpentersville, IL 60110 | 2014-08-14 |
| 1750632667 | Dundee Dental Smile PC | Clinic/Center | 27 South Western Ave, Unit # E, Carpenterville, IL 60110 | 2012-10-02 |
| 1487911970 | Hoolsema Therapy, Inc | Early Intervention Provider Agency | 6612 Majestic Way, Carpentersville, IL 60110 | 2012-04-20 |
| 1275847311 | Phillip Nelson Gonzalez | Physical Therapist | 62 S. Kennedy Dr., Carpentersville, IL 60110 | 2010-07-30 |
| 1194943134 | William H Morrow | Pharmacist | 406 Elm Ridge Court, Carpentersville, IL 60110 | 2007-04-23 |
| 1497770325 | Empower Home Health Services, Inc | Home Health | 856 Commerce Pkwy, Carpentersville, IL 60110 | 2006-07-13 |
| 1740233154 | Quality Renal Care LLC | Clinic/Center | 2203 Randall Road, Carpentersville, IL 60110 | 2006-05-18 |
| Find all providers in zip 60110 | ||||
| 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 |
|---|---|---|---|---|
| 1114927191 | Thida Maw I | Pediatrics | 2201 Randall Rd, Carpentersville, IL 60110-3355 | 2005-07-29 |
| 1336195882 | Thida Maw Md PC | Pediatrics | 2201 Randall Rd, Carpentersville, IL 60110-3355 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
| City | CARPENTERSVILLE |
| Zip Code | 60110 |
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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.