DR. DENNIS SHELLY KOFFER (NPI# 1982609707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982609707 |
| Entity Type | Individual |
| Full Name | DR. DENNIS SHELLY KOFFER |
| Credential | MD |
| Practice Address |
131 E Market St Smithfield NC 27577-3915 |
| Practice Telephone | 9199345441 |
| Practice Fax Number | 9199340152 |
| Mailing Telephone | 9199345441 |
| Mailing Fax Number | 9199340152 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9300504 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8942740 | 05 |
| Street Address |
131 E MARKET ST |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316464613 | Bernard Carl Callis Campo | Physician Assistant | 131 E Market St, Smithfield, NC 27577-3915 | 2017-08-28 |
| 1598108672 | Paul A Trottman | Surgery | 131 E Market St, Smithfield, NC 27577 | 2013-04-09 |
| 1972896769 | Esther Chae Eun He Yim | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2011-05-26 |
| 1568753143 | Chase Lee Campbell | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2011-04-29 |
| 1972711265 | Jeri Elizabeth Dickinson | Surgery | 131 E Market St, Smithfield, NC 27577 | 2007-05-18 |
| 1902843444 | Triangle East Surgery P A | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2006-06-01 |
| 1477559730 | James Bernard Collins IIi | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2005-06-22 |
| 1396740114 | Thomas William Powell | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164643441 | Manmohan Singh Md Pa | Surgery | 713 North Street, Smithfield, NC 27577 | 2007-05-02 |
| 1073650222 | Manmohan Singh | Surgery | 713 North St, Smithfield, NC 27577-4019 | 2007-01-30 |
| 1700887585 | Alice P Selden | Surgery | 712 Wilkins St, Suite D, Smithfield, NC 27577-4664 | 2005-08-03 |
| 1598108672 | Paul A Trottman | Surgery | 131 E Market St, Smithfield, NC 27577 | 2013-04-09 |
| 1972896769 | Esther Chae Eun He Yim | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2011-05-26 |
| 1568753143 | Chase Lee Campbell | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2011-04-29 |
| 1952638009 | Riverside Physician Services, Inc | Surgery | 1807 S Church St, Ste 114, Smithfield, VA 23430-1862 | 2009-11-11 |
| 1972711265 | Jeri Elizabeth Dickinson | Surgery | 131 E Market St, Smithfield, NC 27577 | 2007-05-18 |
| 1902843444 | Triangle East Surgery P A | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2006-06-01 |
| 1396797361 | Johnston Surgical Associates, Pa | Surgery | 712 Wilkins St, Suite D, Smithfield, NC 27577-4664 | 2006-05-17 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.