DR. BRANDON MATTHEW SMITH (NPI# 1972767507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972767507 |
| Entity Type | Individual |
| Full Name | DR. BRANDON MATTHEW SMITH |
| Credential | MD |
| Practice Address |
1 Perkins Sq Akron OH 44308-1063 |
| Practice Telephone | 3305438521 |
| Practice Fax Number | 3305433850 |
| Mailing Telephone | 3305438521 |
| Mailing Fax Number | 3305433850 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2015-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
35.126020 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967556 | Brandon Shane Smith | Registered Nurse | 2630 Dumaine St, New Orleans, LA 70119-3420 | 2020-09-23 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1982248530 | Brandon Smith | Massage Therapist | 1324 Stoystown Rd, Friedens, PA 15541-7504 | 2019-11-06 |
| 1114583432 | Brandon Tyler Smith | Student in an Organized Health Care Education/Training Program | 21 Bronson Way, Skillman, NJ 08558-1657 | 2019-05-13 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1801333471 | Brandon Smith | Specialist/Technologist | 133 Eagle Ct, Mooresville, NC 28117-8022 | 2017-01-20 |
| 1376959932 | Brandon L. Smith | Dentist | 738 E Spring St, Cookeville, TN 38501-4230 | 2014-07-03 |
| Street Address |
1 PERKINS SQ |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216468 | Kerry Leone-quisenberry | Nurse Anesthetist, Certified Registered | 1 Perkins Sq, Akron, OH 44308-1063 | 2005-06-21 |
| 1639778681 | Megan Susanne Foster | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-10-21 |
| 1639781800 | Danielle Marie Standohar | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-19 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1609494517 | Angela Marie Corsi | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-07-07 |
| 1124647516 | Marisa M Mancuso | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-15 |
| 1235768870 | Elizabeth Suzanne Mcinturf | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-06 |
| 1447889142 | Kaitlin Minotti | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1062 | 2020-04-04 |
| 1790314813 | Spencer Jeffrey Gasser | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
| 1992334080 | Rachel Worth | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386986115 | Jessica Lynn Bivens | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2013-03-19 |
| 1346501848 | Stephen Manu | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-06-01 |
| 1497011886 | Vanessa Marie Hormaza | Pediatrics | 1 Perkins Sq, Akron, OH 44308 | 2012-04-10 |
| 1093014672 | Meagan Lee Peek | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2011-03-21 |
| 1043374952 | David J Waight | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-12-22 |
| 1114003548 | Chandrakant R Patel | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-10-27 |
| 1245323518 | Mark D Jacobstein | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-10-01 |
| 1801811385 | John M Clark | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-07-13 |
| 1578595070 | Giora Ben-shachar | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-07-06 |
| 1063471316 | Wasim Khan | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-03-23 |
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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.