Russell B Smith (NPI# 1134112261, PAC ID# 3678673001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1134112261 |
| PAC ID by PECOS | 3678673001 |
| Professional Enrollment ID | I20171208002133 |
| Full Name | Russell B Smith |
| Organization Legal Name | BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC |
| Address |
1235 San Marco Blvd Suite 1 Jacksonville FL 32207-8556 |
| Phone Number | 9042027300 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5991932063 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| Address | Phone | Organization |
|---|---|---|
| 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 | 9042027300 | BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC |
| Organization Legal Name | BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aakash M Modi | Pulmonary Disease | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Zheng Z Topp | Hematology/oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Joe Putnam | Thoracic Surgery | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Brittany Folsom Bryant | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Cynthia S Anderson | Radiation Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Sarah R Griffis | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Barrett Zachary Mccormick | Urology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Paul W Nowicki | Gynecological Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1301 W Palm Ave, Jacksonville, FL 32254-2349 |
| Nguyen Dan J Tran | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Christopher M Pezzi | Surgical Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Street Address |
1235 SAN MARCO BLVD SUITE 1 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32207-8556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zheng Z Topp | Hematology/oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Joe Putnam | Thoracic Surgery | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| George P Royal | Psychologist, Clinical | Baptist Behavioral Health LLC | 1235 San Marco Blvd, Fl 4, Jacksonville, FL 32207-8554 |
| Brittany Folsom Bryant | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Cynthia S Anderson | Radiation Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Sarah R Griffis | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Nguyen Dan J Tran | Nurse Practitioner | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Christopher M Pezzi | Surgical Oncology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Blanche M. Williams | Psychologist, Clinical | Baptist Behavioral Health LLC | 1235 San Marco Blvd, Fl 4, Jacksonville, FL 32207-8554 |
| Jonathan J Melquist | Urology | Baptist-southeast Gynecologic Oncology Associates Inc | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8556 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alethea B Brown | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Joseph C Holley | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Richard Alan De La Cruz | Emergency Medicine | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Nancy A Gilliom | Audiologist | Hear Better Centers LLC | 2051 Art Museum Dr, Jacksonville, FL 32207-2512 |
| Theresa B Scully | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Suite 2and3, Jacksonville, FL 32207-3303 |
| Heloise L Murphy | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Jacksonville, FL 32207-3303 |
| Francis X Palmieri | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Joyce G Stoddart | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Eduardo A Sanchez | Psychiatry | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Elena Akra | Psychologist, Clinical | Akra Professional Services | 1551 Atlantic Blvd, Suite 101, Jacksonville, FL 32207-3369 |
| Find all physicians in zip 32207 | |||
| City | JACKSONVILLE |
| Zip Code | 32207 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | JACKSONVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Russell 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.