Samuel W Smith Jr. (NPI# 1548405640, PAC ID# 3173688090) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1548405640 |
| PAC ID by PECOS | 3173688090 |
| Professional Enrollment ID | I20090210000210 |
| Full Name | Samuel W Smith Jr. |
| Organization Legal Name | NORTHERN BERKSHIRE MEDICAL PC |
| Address |
375 Main St Williamstown MA 01267-2610 |
| Phone Number | 4133981000 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183907603 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470012 | SOUTHWESTERN VERMONT MEDICAL CENTER |
| 220046 | BERKSHIRE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Hospital Dr, Bennington, VT 05201-5004 | 4133981000 | NORTHERN BERKSHIRE MEDICAL PC |
| 140 Hospital Dr, Bennington, VT 05201-5010 | SOUTHWESTERN VERMONT MEDICAL CENTER INC | |
| Svmc Bennington Allergy, 120 Hospital Drive, Bennington, VT 05201-5002 | 8024475087 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Deerfield Valley Campus, 30 Route 100 South, Bennington, VT 05201 | 8024645311 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Gastroenterology, 140 Hospital Drive Suite 104, Bennington, VT 05201-5010 | 8024471536 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Ob/gyn, 140 Hospital Drive Suite 302, Bennington, VT 05201-5010 | 8024429600 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Pediatric Services, 140 Hospital Drive Suite 210, Bennington, VT 05201-5015 | 8024473930 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Urology, 140 Hospital Drive Suite 100, Bennington, VT 05201-5010 | 8024476253 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Mountain Medical Services, 13 Grand Summit Way, West Dover, VT 05201 | 8024649300 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| 375 Main St, Williamstown, MA 01267-2610 | 4133981000 | NORTHERN BERKSHIRE MEDICAL PC |
| Organization Legal Name | NORTHERN BERKSHIRE MEDICAL PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suk Namkoong | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| James Ream Whittum | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Paul J Donovan | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Street Address |
375 MAIN ST |
| City | WILLIAMSTOWN |
| State | MA |
| Zip | 01267-2610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suk Namkoong | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Karl G George | Chiropractic | 375 Main St, Setauket, NY 11733-3832 | |
| James Ream Whittum | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Paul J Donovan | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Brenda K Balthazor | Physician Assistant | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 375 Main St, Birnamwood, WI 54414-9259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah B Edson | Psychologist, Clinical | 1 Bulkley St, Williamstown, MA 01267-2077 | |
| Elizabeth Vail Roberts | Psychologist, Clinical | 681 Simonds Rd, Williamstown, MA 01267-2105 | |
| Anthony J Siracusa | Psychologist, Clinical | 681 Simonds Rd, Williamstown, MA 01267-2105 | |
| Garrett Lechowski | Clinical Social Worker | 311 B Main St, Williamstown, MA 01267-2610 | |
| Lynn M Barry | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| David H Armet | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| Jennifer S Armet | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| Brittney Cappiello | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| Heather Jeanette Burhans | Chiropractic | Williamstown Family Chiropractic LLC | 660 Main St, Williamstown, MA 01267-2642 |
| Erin G Wright | Chiropractic | Williamstown Family Chiropractic LLC | 660 Main St, Williamstown, MA 01267-2642 |
| Find all physicians in zip 01267 | |||
| City | WILLIAMSTOWN |
| Zip Code | 01267 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WILLIAMSTOWN + PHYSICIAN ASSISTANT |
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| 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.