Elizabeth T Smith (NPI# 1558329763, PAC ID# 0042343683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1558329763 |
PAC ID by PECOS | 0042343683 |
Professional Enrollment ID | I20100803000150 |
Full Name | Elizabeth T Smith |
Organization Legal Name | E A HAWSE HEALTH CENTER INC |
Address |
17978 State Rd Suite 55 Baker WV 26801-8626 |
Phone Number | 3048975915 |
Gender | F |
Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1983 |
Primary Specialty | FAMILY PRACTICE |
Secondary Specialties | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 6204728041 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490005 | WINCHESTER MEDICAL CENTER |
511316 | GRANT MEMORIAL HOSPITAL |
490004 | SENTARA RMH MEDICAL CENTER |
511311 | HAMPSHIRE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
17978 State Rd, Suite 55, Baker, WV 26801-8626 | 3048975915 | E A HAWSE HEALTH CENTER INC |
17978 State Rd, Baker, WV 26801-8626 | 3048975915 | E A HAWSE HEALTH CENTER INC |
Organization Legal Name | E A HAWSE HEALTH CENTER INC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Marie Basye | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Eleanor K Berg | Nurse Practitioner | E A Hawse Health Center Inc | 111 S Grove St, Suite 1, Petersburg, WV 26847-1805 |
Loren N Cunningham | Physician Assistant | E A Hawse Health Center Inc | 111 S Grove St, Suite 1, Petersburg, WV 26847-1805 |
Elaine M Smith | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Solomon M Mutetwa | Family Medicine | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Arthur J Cerami | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Baker, WV 26801-8626 |
Melissa L Mathias | Nurse Practitioner | E A Hawse Health Center Inc | 111 S Grove St, Suite 1, Petersburg, WV 26847-1805 |
James Lloyd Rising | Family Practice | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Kimberly D Washbourne | Nurse Practitioner | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Freddy D Conley | Nurse Practitioner | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Street Address |
17978 STATE RD SUITE 55 |
City | BAKER |
State | WV |
Zip | 26801-8626 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Marie Basye | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Elaine M Smith | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Solomon M Mutetwa | Family Medicine | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Arthur J Cerami | Physician Assistant | E A Hawse Health Center Inc | 17978 State Rd, Baker, WV 26801-8626 |
James Lloyd Rising | Family Practice | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Kimberly D Washbourne | Nurse Practitioner | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
Freddy D Conley | Nurse Practitioner | E A Hawse Health Center Inc | 17978 State Rd, Suite 55, Baker, WV 26801-8626 |
City | BAKER |
Zip Code | 26801 |
Specialty | FAMILY PRACTICE |
City + Specialty | BAKER + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Elizabeth T Smith.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.