Adam B Smith (NPI# 1003005315, PAC ID# 1951571769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1003005315 |
| PAC ID by PECOS | 1951571769 |
| Professional Enrollment ID | I20140820002010 |
| Full Name | Adam B Smith |
| Organization Legal Name | TRI-STATE SPECIALISTS, LLP |
| Address |
2800 Pierce St Suite 101 Sioux City IA 51104-3707 |
| Phone Number | 7122248677 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 2365583663 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160146 | ST LUKES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 7122248677 | TRI-STATE SPECIALISTS, LLP |
| 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 | 7122248677 | TRI-STATE SPECIALISTS, LLP |
| 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 | 7122248677 | TRI-STATE SPECIALISTS, LLP |
| Organization Legal Name | TRI-STATE SPECIALISTS, LLP |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruslan Safarov | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
| Theresa J Swenson | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Michael C Doarn | Hand Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
| Phinit Phisitkul | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
| Stephanie M Walker | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Kevin Jay Liudahl | Orthopedic Surgery | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Raymond T Kuwahara | Dermatology | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Gary M Tillman | Certified Registered Nurse Anesthetist (crna) | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
| John J Anzalone | Physical Therapy | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
| Aaron T Althaus | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
| Street Address |
2800 PIERCE ST SUITE 101 |
| City | SIOUX CITY |
| State | IA |
| Zip | 51104-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa J Swenson | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Stephanie M Walker | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Kevin Jay Liudahl | Orthopedic Surgery | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Raymond T Kuwahara | Dermatology | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| William O Samuelson | Orthopedic Surgery | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| April A Roman | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Joseph A Morris | General Surgery | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Leonel H Herrera | Neurology | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary D Heath | Physician Assistant | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Joseph Adam Kurth | Family Medicine | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Amy J Payne | Physician Assistant | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Shannon Stewart | Nurse Practitioner | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Michael D. Harder | Family Medicine | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Michelle Renae Doty | Nurse Practitioner | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Kerri A Weaver | Clinical Social Worker | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Cynthia S Lewin | Nurse Practitioner | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Roxana B Karimzadeh | Physician Assistant | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Steven L Shook | Family Practice | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
| Find all physicians in zip 51104 | |||
| City | SIOUX CITY |
| Zip Code | 51104 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SIOUX CITY + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Adam B 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.