LEE ELLIOTT SMITH (NPI# 1841307311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841307311 |
| Entity Type | Individual |
| Full Name | LEE ELLIOTT SMITH |
| Credential | MD |
| Practice Address |
122 12th St Ste A Princeton WV 24740 |
| Mailing Address |
Po Box 1369 Princeton WV 24740-1369 |
| Practice Telephone | 3044873407 |
| Practice Fax Number | 3044872203 |
| Mailing Telephone | 3044873407 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
13597 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 040000726 | 01 | |
| WV | 0101114000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859843 | Lee Kasim Smith | Student in an Organized Health Care Education/Training Program | 10625 Nsh, Campus Box #7160, Chapel Hill, NC 27599-7160 | 2016-05-19 |
| 1720471964 | Lee Smith | Licensed Practical Nurse | 340 Black Oak Ct, Monroe, MI 48162-3387 | 2015-03-12 |
| 1568742716 | Lee Anderson Smith Jr. | Social Worker | 1246 Concord Rd Se Ste 203, Smyrna, GA 30080-4394 | 2011-08-19 |
| 1871059618 | Lee Smith | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-02-18 |
| 1104185099 | Lee Alan Smith | Pharmacist | 3263 Colby Rd, Whitehall, MI 49461-8601 | 2012-05-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| 1861635187 | Lee Andrew Smith | Chiropractor | 46175 Westlake Dr, Suite 200, Sterling, VA 20165-5873 | 2009-04-16 |
| 1790984987 | Lee Smith | Otolaryngology | 430 Lakeville Rd, New Hyde Park, NY 11042-1121 | 2007-07-17 |
| 1639290174 | Lee Smith | Social Worker | 4100 Veterans Parkway, Mchenry, IL 60050 | 2007-04-03 |
| 1730206681 | Lee Martin Smith | Physical Therapist | 4411 S Adams St, Marion, IN 46953-5349 | 2007-03-24 |
| Street Address |
122 12TH ST STE A |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205197407 | Mark Lentner | Otolaryngology | 122 12th St Ste A, Princeton, WV 24740-2312 | 2012-06-04 |
| 1811257231 | Mark Anthony Weitzel | Otolaryngology | 122 12th St Ste A, Princeton, WV 24740-2312 | 2012-05-18 |
| 1124302260 | Melissa Ann Shrewsbury | Nurse Practitioner | 122 12th St Ste A, Princeton, WV 24740-2312 | 2011-10-07 |
| 1750482014 | Deborah P Lentner | Physician Assistant | 122 12th St Ste A, Princeton, WV 24740-2312 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467524082 | Greenbrier Valley Ent Pllc | Otolaryngology | 118 Taylor Ln, Ronceverte, WV 24970-1337 | 2006-11-15 |
| 1821199647 | Paul Alex Blair | Otolaryngology | 3667 Teays Valley Rd, Hurricane, WV 25526-9658 | 2006-09-26 |
| 1295262376 | Gateway Ent & Allergy, Inc | Otolaryngology | 240 George St, Beckley, WV 25801-2641 | 2017-05-19 |
| 1902934987 | Paul A. Blair, M.d., Inc | Otolaryngology | 3667 Teays Valley Rd, Hurricane, WV 25526-9658 | 2007-03-01 |
| 1922173202 | Mountain State Ent & Facial Plastic Surgery | Otolaryngology | 304 Seneca Trl, Mtn State Ent Lewisburg, Ronceverte, WV 24970-1320 | 2006-11-21 |
| 1760443162 | Albert James Paine Jr. | Otolaryngology | 86 Brookshire Ln, Beckley, WV 25801-6765 | 2006-03-28 |
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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.