JACK COLDWELL SMITH III (NPI# 1871538041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871538041 |
| Entity Type | Individual |
| Full Name | JACK COLDWELL SMITH III |
| Credential | MD |
| Practice Address |
409 Cottage Rd Carthage TX 75633-1466 |
| Practice Telephone | 9036944824 |
| Practice Fax Number | 9036944621 |
| Mailing Telephone | 0369448249 |
| Mailing Fax Number | 9036944621 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L3131 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L3131 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159534003 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 E 30th Ave, Pampa, TX 790652822 | 8066650815 | 8066650817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669885687 | Jack Smith | Social Worker | 933 Sw 3rd St, Moore, OK 73160-2261 | 2014-06-06 |
| 1659450773 | Jack Steven Smith | Chiropractor | 1815 W Missouri Ave Ste 102, Phoenix, AZ 85015-3047 | 2006-11-02 |
| 1043248818 | Jack Dale Smith | Urology | 1321 Cottonwood St, Suite 302, Woodland, CA 95695-5131 | 2006-06-29 |
| 1528036704 | Jack Bradley Smith | Physician Assistant | 4401 W Memorial Rd, Oklahoma City, OK 73134-1785 | 2006-03-14 |
| 1538133426 | Jack Dempsey Smith | Dentist | 2919 Colony Rd, Durham, NC 27705-5595 | 2006-02-15 |
| 1891780581 | Jack D Smith | Specialist | 133 Donohoe Rd, Greensburg, PA 15601-6986 | 2005-09-19 |
| 1346687720 | Jack Michael Smith | Physical Medicine & Rehabilitation | 1100 Grampian Blvd, Williamsport, PA 17701 | 2013-05-26 |
| 1952593691 | Jack W. Smith | Family Medicine | 5111 Leesburg Pike, Skyline 5, Suite 601, Falls Church, VA 22041-3251 | 2007-08-16 |
| 1710191564 | Jack Smith | Counselor | 15040 S Ravinia Ave Ste 44, Orland Park, IL 60462-3173 | 2007-05-10 |
| 1356489462 | Jack Brian Smith | Dentist | 160 Three Rivers Dr Ne, Ste. 1600, Rome, GA 30161-2303 | 2007-02-01 |
| Street Address |
409 COTTAGE RD |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699760074 | Oak Hill Radiology Assoc Inc | Radiology | 409 Cottage Rd, Carthage, TX 75633-1466 | 2005-09-13 |
| 1386118628 | Melissa Dawn Walters | Nurse Practitioner | 409 Cottage Rd, Carthage, TX 75633-1466 | 2019-01-21 |
| 1184125908 | Carthage Hospital, LLC | Nurse Anesthetist, Certified Registered | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-27 |
| 1225538614 | Carthage Hospital, LLC | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-13 |
| 1598264954 | Carthage Hospital, LLC | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-12 |
| 1538667035 | Carthage Hospital, LLC | General Acute Care Hospital | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-01-30 |
| 1457775645 | Lilly Michael | Physician Assistant | 409 Cottage Rd, Carthage, TX 75633-1466 | 2014-02-10 |
| 1306912209 | East Texas Medical Center Carthage | Medicare Defined Swing Bed Unit | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1215003116 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-24 |
| 1023182086 | East Texas Medical Center Carthage | Clinic/Center | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1073504437 | Charles Deron Lewis | Durable Medical Equipment & Medical Supplies | 310 N Adams Street, Carthage, TX 75633 | 2005-11-03 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| Find all providers in zip 75633 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114249836 | Family Medical Center of Carthage, LLC | Internal Medicine | 1632 Missouri Ave, Carthage, MO 64836-3059 | 2010-02-22 |
| 1922042662 | Robert L Deucher | Internal Medicine | 334 Mill Creek Rd Ste D, Carthage, NC 28327-6506 | 2006-06-15 |
| 1831169788 | Aaron G Wesp | Internal Medicine | 630 Locust St, Carthage, IL 62321-1459 | 2006-01-24 |
| 1225538614 | Carthage Hospital, LLC | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-13 |
| 1467711408 | Jessica Sharleen Lavender | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051 | 2012-05-11 |
| 1376856161 | Gerald J Akpassa Md Pa | Internal Medicine | 4054 Nw Loop, Carthage, TX 75633-3346 | 2010-07-21 |
| 1245541358 | Smith County Memorial Hospital LLC | Internal Medicine | 158 Hospital Dr, Carthage, TN 37030-1083 | 2010-06-24 |
| 1952593881 | Jerome F Cuyler | Internal Medicine | 3 Bridge Street, Suite 3, Carthage, NY 13619-1333 | 2007-08-14 |
| 1932271947 | East Texas Medical Center Carthage | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-14 |
| 1104851948 | Amjad G Sheikh | Internal Medicine | 1001 West St, Carthage, NY 13619-9703 | 2006-07-11 |
| Find all providers in CARTHAGE | ||||
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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.