DR. SCOTT SMITH (NPI# 1811097512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811097512 |
Entity Type | Individual |
Full Name | DR. SCOTT SMITH |
Credential | M.D. |
Practice Address |
4601 Dale Road Modesto CA 95356 |
Mailing Address |
4601 Dale Road Modesto CA 95356-9342 |
Practice Telephone | 2097356250 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301076442 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922544808 | Scott Adam Smith | Specialist | 5602 184th St, Fresh Meadows, NY 11365-2215 | 2017-01-16 |
1184068918 | Scott Michael Smith | Dentist | 5819 Highway 6 Ste 350, Missouri City, TX 77459-4070 | 2013-04-23 |
1780926931 | Scott Adam Smith | Orthopaedic Surgery | 17600 Shamrock Blvd, Westfield, IN 46074-7002 | 2013-03-25 |
1811244155 | Scott Allen Smith | Counselor | 300 Trophy Club Dr., Ste. 600, Trophy Club, TX 76262-5416 | 2012-08-06 |
1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
1043516305 | Scott A Smith | Occupational Therapist | 35634 E County Road 1540, Pauls Valley, OK 73075-8722 | 2011-02-03 |
1508099284 | Scott Cameron Smith | Dentist | 25099 Starr St, Loma Linda, CA 92354-2813 | 2009-08-28 |
1205062270 | Scott Matthew Smith | Psychologist | 5755 Violeta Ave, Atascadero, CA 93422-3125 | 2009-06-04 |
1487815031 | Scott Smith | Social Worker | 700 W University Dr, #139, Tempe, AZ 85281-3467 | 2008-06-17 |
1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
Street Address |
4601 DALE ROAD |
City | MODESTO |
State | CA |
Zip Code | 95356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336108885 | Angela M Abe | Optometrist | 4601 Dale Road, Modesto, CA 95356 | 2006-03-22 |
1932459369 | Grace Ruyin Chen | Pharmacist | 4601 Dale Road, Modesto, CA 95356 | 2012-09-13 |
1598821084 | Paula Tucker | Social Worker | 4601 Dale Road, Modesto, CA 95356 | 2006-12-29 |
1679641096 | Marilyn Marie Dixon-brown | Audiologist | 4601 Dale Road, Head and Neck Surgery Audiology, Modesto, CA 95356-9209 | 2006-12-01 |
1881766855 | Zaia Younatan Isho | Family Medicine | 4601 Dale Road, Modesto, CA 95356 | 2006-11-15 |
1629149554 | Lee Kauffman | Physical Therapist | 4601 Dale Road, Modesto, CA 95356-9718 | 2006-11-13 |
1619048162 | Toheeda Sadiq | Pharmacist | 4601 Dale Road, Modesto, CA 95356 | 2006-11-13 |
1649341462 | Robert Mallory | Physical Therapist | 4601 Dale Road, Modesto, CA 95356 | 2006-11-13 |
1760551113 | Adrianne Eisabel Payan | Speech-Language Pathologist | 4601 Dale Road, Modesto, CA 95356-3377 | 2006-11-07 |
1952311367 | Alfred Charles Gaymon | Internal Medicine | 4601 Dale Road, Modesto, CA 95356 | 2006-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
Find all providers in zip 95356 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720270200 | Monica Martinez | Radiology | 1524 Mchenry Ave Ste 430, Modesto, CA 95350-4567 | 2007-08-17 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1730133893 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 157 E Coolidge Ave, Modesto, CA 95350-4504 | 2006-05-20 |
1992705230 | Serge Djukic | Radiology | 2401 Orangeburg Ave, Ste 675, Pmb 246, Modesto, CA 95355-3379 | 2005-07-28 |
1104231760 | Raymond Hung Md, Inc | Radiology | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2014-06-23 |
1285053108 | Jason Yu | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2014-04-08 |
1841617115 | Jasmine Camille Branchcomb | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2014-03-25 |
1780015685 | Richard Kendrick | Radiology | 1524 Mchenry Ave, Suite 235, Modesto, CA 95350-4500 | 2013-12-03 |
1912341710 | Norcal Radiologists Inc | Radiology | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2013-04-23 |
1306106125 | Dushyant Singh Thakur | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2012-05-26 |
Find all providers in MODESTO |
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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.