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).
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 |
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 |
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 |
Street Address |
1411 N TAYLOR DR |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-3043 |
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 |
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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 |
Find all providers in zip 53081 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
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. |
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 |
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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.