Gary S Smith (NPI# 1457368862, PAC ID# 0840303038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1457368862 |
| PAC ID by PECOS | 0840303038 |
| Professional Enrollment ID | I20140204001391 |
| Full Name | Gary S Smith |
| Organization Legal Name | PENNDOC FOOT AND ANKLE CENTER LLC |
| Address |
2 S State St Warren PA 16365-4639 |
| Phone Number | 8147261411 |
| Gender | M |
| Medical School | COLLEGE OF PHYSICIANS AND SURGEONS (IOWA) |
| Graduation Year | 1990 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1759329741 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330103 | OLEAN GENERAL HOSPITAL |
| 390104 | KANE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 133 Mill St, Bradford, PA 16701-1408 | 8143623668 | PENNDOC FOOT AND ANKLE CENTER LLC |
| 2 S State St, Warren, PA 16365-4639 | 8147261411 | PENNDOC FOOT AND ANKLE CENTER LLC |
| Organization Legal Name | PENNDOC FOOT AND ANKLE CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan B Mcmillan | Podiatry | Penndoc Foot and Ankle Center LLC | 2 S State St, Warren, PA 16365-4639 |
| Street Address |
2 S STATE ST |
| City | WARREN |
| State | PA |
| Zip | 16365-4639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan B Mcmillan | Podiatry | Penndoc Foot and Ankle Center LLC | 2 S State St, Warren, PA 16365-4639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Scharrer Summerson | Nurse Practitioner | Warren Healthcare Associates Inc | 14 Plumber St, Warren, PA 16365-1202 |
| Damian T Horner | Family Medicine | Damian T Horner, Do Family Practice | 10 Plumber St, Warren, PA 16365-1202 |
| Sarah R Jepson | Physician Assistant | Damian T Horner, Do Family Practice | 10 Plumber St, Warren, PA 16365-1202 |
| Joseph J Maljovec | Obstetrics/gynecology | Warren Healthcare Associates Inc | 14 Plumber St, Warren, PA 16365-1202 |
| Frankie Jo Johnson | Clinical Social Worker | 4 Clover St, Warren, PA 16365-1213 | |
| David A Brook | Chiropractic | 206 E 5th Ave, Warren, PA 16365-1606 | |
| Joshua Britten | Podiatry | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Chelsie R Dell | Physician Assistant | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Jill Gorton | Nurse Practitioner | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Muhammad Asad | General Surgery | Regional Health Services Inc | 414 Market St, Warren, PA 16365-1764 |
| Find all physicians in zip 16365 | |||
| City | WARREN |
| Zip Code | 16365 |
| Specialty | PODIATRY |
| City + Specialty | WARREN + PODIATRY |
Please comment or provide details below to improve the information on Gary S 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.