Cleatious David Smith (NPI# 1871546515, PAC ID# 1951398213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871546515 |
| PAC ID by PECOS | 1951398213 |
| Professional Enrollment ID | I20051103000559 |
| Full Name | Cleatious David Smith |
| Address |
14088 Alabama St Jay FL 32565-1036 |
| Phone Number | 8506754546 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100048 | JAY HOSPITAL |
| 100093 | BAPTIST HOSPITAL |
| 100124 | SANTA ROSA MEDICAL CENTER |
| 100025 | SACRED HEART HOSPITAL |
| 010099 | D W MCMILLAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14088 Alabama St, Jay, FL 32565-1036 | 8506754546 | |
| 14088 Alabama St, Jay, FL 32565-1036 | PANHANDLE RURAL HEALTH INCORPORATED |
| Street Address |
14088 ALABAMA ST |
| City | JAY |
| State | FL |
| Zip | 32565-1036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Elder | Family Medicine | Panhandle Rural Health Incorporated | 14088 Alabama St, Jay, FL 32565-1036 |
| John-stewart Michael Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | |
| Gregory D Heaton | Optometry | 14088 Alabama St, Jay, FL 32565-1036 | |
| Jeffery S Kelley | Internal Medicine | 14088 Alabama St, Jay, FL 32565-1036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford R Egly | Podiatry | Southeast Podiatry PC | 14122 Alabama St, Jay, FL 32565-1219 |
| Christopher J Dorvault | Diagnostic Radiology | Radiology Associates of Pensacola, Pa | 14114 Alabama St, Jay, FL 32565-1219 |
| Edward B Jorgensen | Family Medicine | Jay Hospital Inc | 14114 Alabama St, Jay, FL 32565-1219 |
| Vashti F Hellein | Diagnostic Radiology | Radiology Associates of Pensacola, Pa | 14114 Alabama St, Jay, FL 32565-1219 |
| Brent M Harwood | Podiatry | Southeast Podiatry PC | 14122 Alabama St, Jay, FL 32565-1219 |
| Justin D Poissant | Family Medicine | Jay Hospital Inc | 14114 Alabama St, Jay, FL 32565-1219 |
| Karin J Pardue | Family Medicine | Jay Hospital Inc | 14114 Alabama St, Jay, FL 32565-1219 |
| John J Baehr Iii | Diagnostic Radiology | Radiology Associates of Pensacola, Pa | 14114 Alabama St, Jay, FL 32565-1219 |
| Yun-wei Chang | Nurse Practitioner | Mark J Elder Do Pa | 3887 Scotts Plaza Dr, Jay, FL 32565-4001 |
| City | JAY |
| Zip Code | 32565 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Cleatious David 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.