DR. LESLIE L. SMITH (NPI# 1831193697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831193697 |
| Entity Type | Individual |
| Full Name | DR. LESLIE L. SMITH |
| Credential | D.O. |
| Practice Address |
2400 State Road 415 Sanford FL 32771-6012 |
| Practice Telephone | 4073228645 |
| Practice Fax Number | 4073247311 |
| Mailing Telephone | 4073228645 |
| Mailing Fax Number | 4073247311 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0007694 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257196000 | 05 | |
| FL | AMERIGROUP | 01114593 | 01 |
| FL | BC/BS | 47084 | 01 |
| FL | WELLCARE MEDICARE | 172745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168086 | Leslie Smith | Clinical Nurse Specialist | 10 Center Dr Room 3-5485, Bethesda, MD 20892-0001 | 2019-05-03 |
| 1104316025 | Leslie Ann Smith | Speech-Language Pathologist | 2499 Prairie Hollow Rd, Imperial, MO 63052-1453 | 2018-05-16 |
| 1639607898 | Leslie Gray Smith | Registered Nurse | 3733 E Smith Rd, Bellingham, WA 98226-9573 | 2017-05-31 |
| 1932552973 | Leslie Smith | Behavioral Analyst | 710 N Lemon Ave Unit 166, Sarasota, FL 34236-4277 | 2016-07-14 |
| 1154731958 | Leslie Smith | Social Worker | 1906 S Lancaster Ave, Springfield, MO 65807-2429 | 2014-05-01 |
| 1427391267 | Leslie M Smith | Contractor | 7005 Nw Kingsbury Ave, Lawton, OK 73505-2624 | 2013-03-29 |
| 1548491277 | Leslie Smith | Massage Therapist | 3109 Old Shell Rd, Mobile, AL 36607-2620 | 2009-07-29 |
| 1144459371 | Leslie A Smith | Speech-Language Pathologist | 12 Cushing Dr, Bridgewater, NJ 08807-1495 | 2009-07-09 |
| 1386887982 | Leslie G Smith | Counselor | 322 S 117th East Pl, Tulsa, OK 74128-2221 | 2009-04-13 |
| 1659497212 | Leslie Joy Smith | Counselor | 5385 Hollister Ave Bldg 14, Santa Barbara, CA 93111-2389 | 2007-03-22 |
| Street Address |
2400 STATE ROAD 415 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023337920 | Adeoti E Oshinowo | Obstetrics & Gynecology | 2400 State Road 415, Sanford, FL 32771 | 2010-05-18 |
| 1720033962 | Felix Scott Fraustro | Nurse Practitioner | 2400 State Road 415, Sanford, FL 32771-6012 | 2006-05-24 |
| 1942258272 | Angela Dawn Ford | Nurse Practitioner | 2400 State Road 415, Sanford, FL 32771 | 2006-05-05 |
| 1245228931 | Marcia Ann Drewry | Family Medicine | 2400 State Road 415, Sanford, FL 32771-6012 | 2005-10-07 |
| 1720080310 | Virgil Mosu | Nurse Practitioner | 2400 State Road 415, Sanford, FL 32771 | 2005-08-12 |
| 1831191667 | Charles L Cornett | Physician Assistant | 2400 State Road 415, Sanford, FL 32771 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1619463429 | Fhpg, LLC | Family Medicine | 2919 Beechtree Dr, Sanford, NC 27330-6934 | 2018-07-04 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1912318247 | Malathy T Sundaram M.d, LLC | Family Medicine | 312 Cottage St Ste A, Sanford, ME 04073-1817 | 2014-05-08 |
| 1487998738 | Carehere LLC | Family Medicine | 1403 Medical Plaza Dr Ste 205, Sanford, FL 32771-1047 | 2012-11-26 |
| 1508120734 | Jennifer Roehrs | Family Medicine | 2919 Beechtree Dr Ste 1120, Sanford, NC 27330-6934 | 2012-07-03 |
| 1871899021 | Urgent Cares of America North Carolina Inc | Family Medicine | 724 South Horner Blvd., Sanford, NC 27330 | 2011-02-07 |
| 1447567698 | Shri Hari Clinic, LLC | Family Medicine | 2200 S French Ave, Sanford, FL 32771-4253 | 2010-09-09 |
| 1336303346 | Thang Pham | Family Medicine | 211 Bush Blvd, Sanford, FL 32773-6188 | 2008-07-18 |
| Find all providers in SANFORD | ||||
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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.