DR. EDWARD LAWRENCE SMITH


Address: 1411 N Taylor Dr, Sheboygan, WI 53081-3043
Phone: 6167353257

DR. EDWARD LAWRENCE SMITH (NPI# 1962617845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962617845
Entity Type Individual
Full Name DR. EDWARD LAWRENCE SMITH
Credential D.O.
Practice Address 1411 N Taylor Dr
Sheboygan
WI 53081-3043
Mailing Address Po Box 19070
Green Bay
WI 54307-9070
Practice Telephone 6167353257
Mailing Telephone 9204572100
Enumeration Date 2007-05-13
Last Update Date 2016-09-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
55826-21 WI Allopathic & Osteopathic Physicians
N 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
5101016859 MI Allopathic & Osteopathic Physicians

Other Providers EDWARD SMITH

NPI Name Taxonomy Address Enumeration
1346892452 Edward A Smith Physical Therapist 2647 N Veterans Blvd, Eagle Pass, TX 78852-6665 2019-07-10
1972033744 Edward Lewis Smith Audiologist-Hearing Aid Fitter 820 S Fort Harrison, Clearwater, FL 33756 2017-06-14
1891125688 Edward Smith Counselor 3609 Memory Ln, Raleigh, NC 27604-4127 2013-11-15
1831447267 Edward L Smith Dentist 340 Aptos Ridge Circle, Watsonville, CA 95076 2012-08-15
1699078097 Edward Lynn Smith Counselor 1179 Nw 97th Dr, Coral Springs, FL 33071-5962 2010-12-07
1073822607 Edward Hardin Smith Jr. Dermatology 514 Winchester Dr, Augusta, GA 30909-3236 2010-09-30
1184956443 Edward Smith Massage Therapist 471 Jones Rd, Vestal, NY 13850-5244 2010-02-10
1821278896 Edward Albert Smith Internal Medicine 2036 E Hackamore St, Mesa, AZ 85213-4003 2007-11-07
1740482017 Edward Charles Smith Spec/Tech, Cardiovascular 3303 6th Ave, Des Moines, IA 50313-4136 2007-05-31
1790997708 Edward Huntington Smith Jr. Specialist/Technologist 7001 W 56th Street, Indianapolis, IN 46254 2007-05-03

Office Location

Street Address 1411 N TAYLOR DR
City SHEBOYGAN
State WI
Zip Code 53081-3043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063483543 Karen Lu Colvin Nurse Anesthetist, Certified Registered 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2006-01-31
1235753922 Elizabeth Grace Garncarz Physician Assistant 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2020-05-29
1649827163 Alice Chanakira-alimi Physician Assistant 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2019-08-20
1821582016 Lauren Sheafer Physician Assistant 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2018-06-20
1033603774 Marlee Anne Hall Physician Assistant 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2018-06-16
1386180362 Amy Sue Gumieny Nurse Practitioner 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2017-01-13
1417300518 Prevea Clinic/Center 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2016-07-13
1841687365 Tina N Ozbeki Family Medicine 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2015-04-22
1346668936 St Nicholas Hospital-sisters of The Third Order of St Francis Durable Medical Equipment & Medical Supplies 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2014-04-01
1093145773 Marylou Mercado Registered Nurse 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2013-11-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770053696 Kathy Hughes Counseling, LLC Community/Behavioral Health 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 2018-12-04
1780159004 Great Lakes Clinic and Consultants, LLC Clinic/Center 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 2018-10-13
1174032106 Laura Elizabeth Manning Registered Nurse 325 Linocln Ave, Sheboygan, WI 53081 2017-09-21
1043733686 Chasidy D Wilke Behavioral Analyst 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 2017-07-25
1700320074 Darlene Wilken Counselor 2842 S. Business Dr, Sheboygan, WI 53081 2016-12-06
1942652185 Jacob Steven Son Dentist 3555 Wasington Ave., Sheboygan, WI 53081 2016-07-12
1225491749 Cassandra Lea Loehndorf Social Worker 3321 S. 12th St., Sheboygan, WI 53081 2016-04-01
1003201112 Jason Meinhardt Dentist 2115 S Memorial Pl, Sheboygan, WI 53081 2015-04-06
1346634110 Christopher Lenz Specialist/Technologist 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 2015-03-19
1780008060 James Simac Counselor 503 Wisconsin Ave., Sheboygan, WI 53081 2014-02-07
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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518179928 John D. Wolski Otolaryngology 12850 Dunwoody Dr, Elm Grove, WI 53122-1415 2007-05-06
1154393791 Thomas Oliver Wildes Otolaryngology 962 Parkland Dr, Chippewa Falls, WI 54729-5084 2006-02-07
1194100511 Midwest Surgical Professionals LLC Otolaryngology 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 2015-07-27
1255582078 Martin E. Samuel, Dds,md,sc Otolaryngology 2741 W Layton Ave, Suite 206, Milwaukee, WI 53221-2600 2008-10-10
1831359801 Ethan B. Handler Otolaryngology 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 2008-06-13
1619157161 Michael Healy Mcdonald Otolaryngology 6408 Copps Ave, Monona, WI 53716-3702 2007-11-13
1275725913 Jessica Ann Weddle Otolaryngology 512 S 28th Ave, Wausau, WI 54401-4147 2007-08-16
1346450558 Ayman D Yaish Otolaryngology 130 Warren St, Suite 130, Beaver Dam, WI 53916 2007-05-23
1629294145 Michael James Mcavoy Otolaryngology 1520 N Meade St, Appleton, WI 54911-3762 2007-04-17
1336364546 James L Rossiter Otolaryngology 10610 N Port Washington Road, Mequon, WI 53092 2007-04-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City SHEBOYGAN
Zip Code 53081

Improve Information

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Dataset Information

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.

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