Nathanael Thomas Smith (NPI# 1760830285, PAC ID# 1355695958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1760830285 |
| PAC ID by PECOS | 1355695958 |
| Professional Enrollment ID | I20181119000850 |
| Full Name | Nathanael Thomas Smith |
| Organization Legal Name | LAWRENCE HODOR DPM INC |
| Address |
5220 Clark Ave Suite 125 Lakewood CA 90712-2623 |
| Phone Number | 5628041381 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7012131022 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050581 | LAKEWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5220 Clark Ave, Suite 125, Lakewood, CA 90712-2623 | 5628041381 | LAWRENCE HODOR DPM INC |
| Organization Legal Name | LAWRENCE HODOR DPM INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Hodor | Podiatry | Lawrence Hodor Dpm Inc | 5220 Clark Ave, Suite 125, Lakewood, CA 90712-2623 |
| David Charles Graham | Podiatry | Lawrence Hodor Dpm Inc | 5220 Clark Ave, Suite 125, Lakewood, CA 90712-2623 |
| Street Address |
5220 CLARK AVE SUITE 125 |
| City | LAKEWOOD |
| State | CA |
| Zip | 90712-2623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia C Gomez | Internal Medicine | 5220 Clark Ave, Suite 400, Lakewood, CA 90712-2625 | |
| Lawrence Hodor | Podiatry | Lawrence Hodor Dpm Inc | 5220 Clark Ave, Suite 125, Lakewood, CA 90712-2623 |
| Shirish Bavajibhai Patel | Internal Medicine | 5220 Clark Ave, Suite 125, Lakewood, CA 90712-2623 | |
| Sherwin A Basil | Qualified Audiologist | 5220 Clark Ave, Suite 100, Lakewood, CA 90712-2624 | |
| Larry L Omo | Chiropractic | 5220 Clark Ave, Suite 210, Lakewood, CA 90712-2642 | |
| Mafutaga Mafutaga Tagaloa-tulifau | Podiatry | 5220 Clark Ave, Suite 315, Lakewood, CA 90712-2635 | |
| David Charles Graham | Podiatry | Lawrence Hodor Dpm Inc | 5220 Clark Ave, Suite 125, Lakewood, CA 90712-2623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Chiusing Hugh | Family Medicine | 3650 E S St, Suite 204, Lakewood, CA 90712-0000 | |
| Garrison R Weaver-gourdeau | Chiropractic | 4115 S St, Lakewood, CA 90712-1043 | |
| Michelle M Litzinger | Chiropractic | 4115 E S St, Back To Life Chiropractic, Lakewood, CA 90712-1043 | |
| Todd Shiohama | Chiropractic | 5451 S St, Lakewood, CA 90712-1353 | |
| Scott A Gordon | Internal Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Khalid Saeed | Internal Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Michael N Castro | Dermatology | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Cherie R Garcia | Internal Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Pei L Mulroy | Family Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Sherif Y Labatia | Family Medicine | Prohealth Partners, A Medical Group | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1411 |
| Find all physicians in zip 90712 | |||
| City | LAKEWOOD |
| Zip Code | 90712 |
| Specialty | PODIATRY |
| City + Specialty | LAKEWOOD + PODIATRY |
Please comment or provide details below to improve the information on Nathanael Thomas 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.