William D Smith (NPI# 1578520532, PAC ID# 3870581192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1578520532 |
| PAC ID by PECOS | 3870581192 |
| Professional Enrollment ID | I20040512000316 |
| Full Name | William D Smith |
| Organization Legal Name | AGATA- VENGER PARTNERSHIP |
| Address |
3061 S Maryland Pkwy 200 Western Regional Ctr for Brain and Spine Surgery Las Vegas NV 89109-6227 |
| Phone Number | 7027371948 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6406744945 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290007 | UNIVERSITY MEDICAL CENTER |
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| 030101 | WESTERN ARIZONA REGIONAL MEDICAL CENTER |
| 030117 | VALLEY VIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3636 Stockton Hill Rd C, Kingman, AZ 86409-0612 | 7027371948 | AGATA- VENGER PARTNERSHIP |
| 3061 S Maryland Pkwy, 200 Western Regional Ctr for Brain and Spine Surgery, Las Vegas, NV 89109-6227 | 7027371948 | AGATA- VENGER PARTNERSHIP |
| Organization Legal Name | AGATA- VENGER PARTNERSHIP |
| Physicians | 1 |
| Street Address |
3061 S MARYLAND PKWY 200 WESTERN REGIONAL CTR FOR BRAIN AND SPINE SURGERY |
| City | LAS VEGAS |
| State | NV |
| Zip | 89109-6227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon B Landers | Emergency Medicine | Landers Intensive Care Services Ltd | 2879 Geary Pl, Suite 2811, Las Vegas, NV 89109-0218 |
| Michelle T Chen | Optometry | Kopolow and Girisgen Professional Corporation | 3200 Las Vegas Blvd S, Suite 1620, Las Vegas, NV 89109-0739 |
| Jenny Tran | Optometry | Kopolow and Girisgen Professional Corporation | 7361 W Lake Mead Blvd, Suite 104, Las Vegas, NV 89109-1040 |
| Dzuy Bi | Optometry | Kopolow and Girisgen Professional Corporation | 7361 W Lake Mead Blvd, Suite 104, Las Vegas, NV 89109-1040 |
| Tanisha M Ranger | Psychologist, Clinical | 2770 S Maryland Pkwy, Suite 501, Las Vegas, NV 89109-1568 | |
| Steven L Burke | Chiropractic | Burke Spinal Care, Ltd | 2650 S Maryland Pkwy, A2, Las Vegas, NV 89109-1666 |
| Cameron M Dudley | Chiropractic | Burke Spinal Care, Ltd | 2650 S Maryland Pkwy, A2, Las Vegas, NV 89109-1666 |
| Maria Claudia Huerta | Nurse Practitioner | Alpine Hospitalist Group Lllp | 3061 S Maryland Pwky, Suite 104, Las Vegas, NV 89109-2202 |
| Kristi Ann Walter | Clinical Psychologist | Integrated Psychological Services LLC | 3035 S Maryland Pkwy, Suite 110, Las Vegas, NV 89109-2202 |
| Anthony T Ligones | Nurse Practitioner | Alpine Hospitalist Group Lllp | 3061 S Maryland Pwky, Suite 104, Las Vegas, NV 89109-2202 |
| Find all physicians in zip 89109 | |||
| City | LAS VEGAS |
| Zip Code | 89109 |
| Specialty | NEUROSURGERY |
| City + Specialty | LAS VEGAS + NEUROSURGERY |
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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.