MR. DEAN A SMITH


Address: 305 Wildwood Cir, Myrtle Beach, SC 29572-4748
Phone: 8434978538

MR. DEAN A SMITH (NPI# 1811963390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811963390
Entity Type Individual
Full Name MR. DEAN A SMITH
Credential MD
Practice Address 305 Wildwood Cir
Myrtle Beach
SC 29572-4748
Mailing Address Po Box 591
Longs
SC 29568-0591
Practice Telephone 8434978538
Practice Fax Number 8434492333
Mailing Telephone 8434978538
Mailing Fax Number 8434492333
Enumeration Date 2006-02-24
Last Update Date 2012-05-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 20127 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC N00356 05

Other Providers DEAN SMITH

NPI Name Taxonomy Address Enumeration
1144598137 Dean Daniel Smith Dentist 1319 Elizabeth, Pueblo, CO 81003 2011-12-06
1326089434 Dean Lavern Smith Internal Medicine 2401 E St Nw, Office of Medical Services; Us Department of State, Washington, DC 20522-0001 2006-06-09
1811990252 Dean T Smith Surgery 391 Shore Haven Dr Se, Grand Rapids, MI 49546-2257 2005-05-31
1750384749 Dean W Smith Orthopaedic Surgery 5420 West Loop S Ste 2400, Bellaire, TX 77401-2118 2005-05-23
1841784311 Dean Christopher Smith Community Health Worker 11 Graham Dr, Athens, OH 45701-1430 2018-06-19
1265687628 Dean C. Smith Marriage & Family Therapist 920 Saratoga Ave Ste 212, San Jose, CA 95129-3408 2008-11-25
1306991930 Dean Walter Smith Family Medicine 3639 Harbor Blvd Ste 106, Ventura, CA 93001-4276 2007-01-24
1659425643 Dean L Smith Chiropractor 890 S Barron St, Eaton, OH 45320-9362 2007-01-23
1871528117 Dean P Smith General Practice 1040 Mangrove Ave, Chico, CA 95926-3509 2006-07-12
1144252099 Dean Ty Smith Family Medicine 79 N Main St, Downey, ID 83234-4703 2006-07-07

Office Location

Street Address 305 WILDWOOD CIR
City MYRTLE BEACH
State SC
Zip Code 29572-4748

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684576 Matthew David Zeuschner Nurse Practitioner 107 Woodwind Court, Myrtle Beach, SC 29572 2020-09-16
1578191789 Julia Ruth Nelson Student in an Organized Health Care Education/Training Program Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-04-01
1407484835 Justin Schevers Student in an Organized Health Care Education/Training Program 802 82nd Parkway, Myrtle Beach, SC 29572 2020-03-31
1922636919 Darian Michael Quigg Student in an Organized Health Care Education/Training Program 809 82nd Street Parkway, Myrtle Beach, SC 29572 2020-03-27
1881221141 Jonathan Alden Bryan Student in an Organized Health Care Education/Training Program Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-03-26
1215575238 Polaris Skin Diagnostics, LLC Dermatology 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 2019-12-20
1700348711 Five Star Rehabilitation and Wellness Services, LLC. Clinic/Center 9547 N Kings Hwy, Myrtle Beach, SC 29572 2019-04-01
1154882975 Michael Kouandjio Student in an Organized Health Care Education/Training Program Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-26
1154880102 Dylan Chase Morgan Internal Medicine Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 2019-03-19
1710446828 David Redding Kingery Jr. Student in an Organized Health Care Education/Training Program Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-18
Find all providers in zip 29572

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154880102 Dylan Chase Morgan Internal Medicine Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 2019-03-19
1508398074 Jacob Vincent Hess Internal Medicine Grand Strand Medical Center, 809 82nd Pkwy, Gme Office, Myrtle Beach, SC 29572 2017-04-03
1063751709 Jga Medical Ventures, P.C. Internal Medicine 4798 Woodview Ln, Myrtle Beach, SC 29575-4523 2013-01-31
1083967210 Drew Medical Group, LLC Internal Medicine 2209 Wentworth Dr, Myrtle Beach, SC 29575-5827 2012-10-25
1427353085 Wellness One, LLC Internal Medicine 4736a Hwy 17 Byp S, Myrtle Beach, SC 29588-5616 2011-01-12
1376856310 Janet Loretta Timmerman Internal Medicine 197 Cabana Road, Myrtle Beach, SC 29572 2010-07-20
1457538316 Solomon Jan Internal Medicine 9021 Bella Verde Ct, Myrtle Beach, SC 29579-5110 2008-01-23
1871798348 Southeast Medical Associates LLC Internal Medicine 1301 48th Ave N Ste B, Myrtle Beach, SC 29577-5427 2007-06-15
1548475783 Natalia Thomas Internal Medicine 1111 48th Ave N, Suite 115, Myrtle Beach, SC 29577 2007-05-11
1932247657 Anthony C Geraci Internal Medicine 45 Birch Ln, Suite 500, Myrtle Beach, SC 29572-5602 2007-02-02
Find all providers in MYRTLE BEACH

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City MYRTLE BEACH
Zip Code 29572

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Dataset Information

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.

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