Edmond Dennis Smith (NPI# 1962993543, PAC ID# 3971854845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962993543 |
| PAC ID by PECOS | 3971854845 |
| Professional Enrollment ID | I20180917001917 |
| Full Name | Edmond Dennis Smith |
| Organization Legal Name | INTEGRATED WV LLC |
| Address |
500 Cherry St Bluefield WV 24701-3306 |
| Phone Number | 3043271100 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193063329 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510071 | BLUEFIELD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 Cherry St, Bluefield, WV 24701-3306 | 3043271100 | INTEGRATED WV LLC |
| Organization Legal Name | INTEGRATED WV LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aung Kyaw Min Lal | Hospitalist | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Ramy Abu Sukheila | Internal Medicine | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Sukaina J Jaffer | Internal Medicine | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Kirk A Moses | Internal Medicine | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Mina Mb Mehanni | Internal Medicine | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Mark W Duff | Family Medicine | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Street Address |
500 CHERRY ST |
| City | BLUEFIELD |
| State | WV |
| Zip | 24701-3306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda H Reese | General Surgery | Bluefield Clinic Company LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Omid Hozumi | Anesthesiology | Clinical Colleagues Inc | 500 Cherry St, Bluefield, WV 24701-3306 |
| John Riddle | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 500 Cherry St, Bluefield, WV 24701-3306 |
| Dirk P Stanley | Pathology | Bluefield Hbp Medical Group LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Ameneh S Lambert | Nurse Practitioner | Icp West Virginia LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Kathy R Akers | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 500 Cherry St, Bluefield, WV 24701-3306 |
| Tricia May Villanueva Harris | Emergency Medicine | Icp West Virginia LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Stephen E Ward | Cardiovascular Disease (cardiology) | Bluefield Clinic Company LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Amy L Oxley | Nurse Practitioner | Icp West Virginia LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Erin Dale Burns | Physician Assistant | Ronceverte Physician Group LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed Ak Sekkarie | Nephrology | Nephrology and Hypertension | 1113 Bluefield Ave, Suite 102, Bluefield, WV 24701-2747 |
| Trina R Sluss | Nurse Practitioner | Nephrology and Hypertension | 1113 Bluefield Ave, Bluefield, WV 24701-2747 |
| Mary H Burks | Registered Dietitian Or Nutrition Professional | Nephrology and Hypertension | 1113 Bluefield Ave, Bluefield, WV 24701-2747 |
| Gary P Mccarthy | Orthopedic Surgery | Bluefield Clinic Company LLC | 510 Cherry St, Bluefield, WV 24701-3300 |
| Tabitha E Cox | Physician Assistant | Robert W Edwards IIi Md Inc | 488 Cherry St, Suite 2, Bluefield, WV 24701-3304 |
| Robert Edwards | Obstetrics/gynecology | Robert W Edwards IIi Md Inc | 488 Cherry St, Suite 2, Bluefield, WV 24701-3304 |
| Randy M Brodnik | Obstetrics/gynecology | 504 A Cherry St, Bluefield, WV 24701-3306 | |
| Aung Kyaw Min Lal | Hospitalist | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Celeste A York | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 500 Cherry St, Bluefield, WV 24701-3306 |
| Ramy Abu Sukheila | Internal Medicine | Integrated Wv LLC | 500 Cherry St, Bluefield, WV 24701-3306 |
| Find all physicians in zip 24701 | |||
| City | BLUEFIELD |
| Zip Code | 24701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLUEFIELD + NURSE PRACTITIONER |
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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.