CHARLES SMITH (NPI# 1881615235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881615235 |
| Entity Type | Individual |
| Full Name | CHARLES SMITH |
| Credential | MD |
| Practice Address |
12010 Shelbyville Rd Suite 500 Louisville KY 40243-1054 |
| Mailing Address |
13117 Eastpoint Park Blvd Suite D Louisville KY 40223-4193 |
| Practice Telephone | 5022382800 |
| Practice Fax Number | 5022382805 |
| Mailing Telephone | 5022382801 |
| Mailing Fax Number | 5022382835 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20296 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 000000182121 | 01 | |
| KY | 64202963 | 05 | |
| RR MCR | P00239216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1912563404 | Charles W Smith | Physical Therapist | 230 Holland Rd, Holland, PA 18966-1702 | 2019-05-10 |
| 1528527520 | Charles E Smith | Physical Therapist | 4048 Cedar Bluff Dr Ste 2, Petoskey, MI 49770-8895 | 2019-03-19 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1437651452 | Charles Anthony Smith | Behavior Technician | 8021 36th Ave N, St Petersburg, FL 33710-1011 | 2018-03-06 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1588189765 | Charles Russell Smith Jr. | Counselor | 152 Dunn Rd, Ashburnham, MA 01430-3043 | 2017-08-08 |
| 1982145090 | Charles Kershaw Smith | Pharmacist | 803 Brantenburg Way, Lutz, FL 33548-7934 | 2017-03-09 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| Street Address |
12010 SHELBYVILLE RD SUITE 500 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871995 | Francis Beng Kiat Ong | General Practice | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2005-06-14 |
| 1902172067 | Suraj K Gathani | Family Medicine | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2012-03-22 |
| 1659675403 | Baptist Community Health Services | Emergency Medicine | 12010 Shelbyville Rd, Louisville, KY 40243-1054 | 2011-01-07 |
| 1104018977 | Scott A. Young | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2007-08-15 |
| 1710179585 | Mark A. Williams | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2007-08-15 |
| 1861521833 | Middletown Medical Group | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2007-03-05 |
| 1396880902 | Jack T Wilson IIi | Dentist | 12010 Shelbyville Rd, Suite 200, Louisville, KY 40243-1054 | 2007-02-21 |
| 1295898807 | William Bradley King | Emergency Medicine | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2006-12-18 |
| 1538256201 | Alexander E Morgan | Emergency Medicine | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1054 | 2006-10-06 |
| 1114935319 | Scott A. Young M.d., Psc | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1054 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1477963163 | Tiffany A Campbell | Emergency Medicine | 530 South Jackson St., #c1h17, Louisville, KY 40202 | 2014-05-02 |
| 1154748382 | Samuel Rume Aya | Emergency Medicine | 530 South Jackson St, #c1h17, Department of Emergency Medicine, Louisville, KY 40202 | 2014-03-26 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1821383944 | Shaun M Reynolds | Emergency Medicine | 530 S Jackson St # C1h17, Department of Emergency Medicine, U of Louisville, Louisville, KY 40202-1675 | 2011-06-16 |
| 1497071674 | Jordan Taylor Brown | Emergency Medicine | 10904 Keene Rd, Louisville, KY 40241-4860 | 2010-04-14 |
| 1366679342 | Devin Sandlin | Emergency Medicine | 1907 Stevens Ave, Louisville, KY 40205-1048 | 2009-06-17 |
| 1801023320 | Mark Timothy Scallon Rukavina | Emergency Medicine | 2400 Mellwood Ave, Apt 1003, Louisville, KY 40206-1061 | 2009-06-11 |
| 1962664961 | Amy Lynn Minix | Emergency Medicine | 3504 Birchmore Pl, Louisville, KY 40245-8475 | 2008-06-30 |
| 1912169673 | Valerie King | Emergency Medicine | 2779 Maple Rd, Louisville, KY 40205-1735 | 2008-06-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
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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.