MR. GERALD LEE SMITH (NPI# 1851575393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851575393 |
Entity Type | Individual |
Full Name | MR. GERALD LEE SMITH |
Credential | CRNA |
Practice Address |
45 Pine Street 1st Medical Group Langley Afb VA 23665-2080 |
Practice Telephone | 7574874733 |
Practice Fax Number | 7574874733 |
Mailing Telephone | 7574874733 |
Mailing Fax Number | 7574874733 |
Enumeration Date | 2007-12-19 |
Last Update Date | 2007-12-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0024053447 | VA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
1578608865 | Gerald Wayne Smith | Chiropractor | 104 E Vaughn Ave, Ruston, LA 71270-5953 | 2007-02-21 |
1922018662 | Gerald W Smith | Dentist | 8680 W Main St Ste 4e, Frisco, TX 75034-3096 | 2006-08-08 |
1740794767 | Gerald Smith | Counselor | 1020 N 3rd St, Monroe, LA 71201-5246 | 2017-11-29 |
1073918975 | Gerald P. Smith Jr. | Counselor | 20400 Col Glenn Rd, Little Rock, AR 72210-5323 | 2014-11-04 |
1083907356 | Gerald Lee Smith Jr. | Pharmacist | 410 Fairfax Pike, Stephens City, VA 22655-2969 | 2011-05-19 |
1053619551 | Gerald L Smith | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2011-03-08 |
1730311614 | Gerald E Smith | Counselor | 2551 Coors Blvd Nw, Albuquerque, NM 87120-1213 | 2009-08-11 |
1962678425 | Gerald A Smith | Dentist | 3755 Sixes Rd, Suite 200, Canton, GA 30114-7842 | 2008-05-05 |
1912184284 | Gerald Michael Smith | Emergency Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2008-01-29 |
Street Address |
45 PINE STREET 1ST MEDICAL GROUP |
City | LANGLEY AFB |
State | VA |
Zip Code | 23665-2080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891812491 | Sandra S. Hearne | Dentist | 45 Pine Street, 1st Medical Group, Langley Afb, VA 23665-2080 | 2007-03-26 |
1083751135 | Deborah Ashcraft-olmscheid | Dentist | 45 Pine Street, 1st Medical Group, Langley Afb, VA 23665-2080 | 2007-01-30 |
1871630913 | Maureen Oliver Harback | Dietitian, Registered | 45 Pine Street, 1st Medical Group, Langley Afb, VA 23665 | 2007-01-30 |
1659426898 | Amy R Carpenter | Dietitian, Registered | 45 Pine Street, 1st Medical Group, Langley Afb, VA 23665-2080 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
Find all providers in zip 23665 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1457952004 | Patricia Maureen Williams | Specialist | 175 W Campus Dr, 110 Lr Hall, Blacksburg, VA 24061-1034 | 2020-11-02 |
1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
1093338915 | Bridget Elizabeth Poindexter | Specialist | 103 Madison St Apt C, Radford, VA 24141-1878 | 2020-05-27 |
1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
Find all providers with the same taxonomy |
City | LANGLEY AFB |
Zip Code | 23665 |
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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.