Tammy M Smith (NPI# 1447631908, PAC ID# 5395059216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447631908 |
| PAC ID by PECOS | 5395059216 |
| Professional Enrollment ID | I20150805007170 |
| Full Name | Tammy M Smith |
| Organization Legal Name | ARIZONA DESERT DERMATOLOGY AND SURGERY PC |
| Address |
2091 N Smoketree Ave Suite 103 Lake Havasu City AZ 86403-5896 |
| Phone Number | 9284533332 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305732512 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 | 9284533332 | ARIZONA DESERT DERMATOLOGY AND SURGERY PC |
| Organization Legal Name | ARIZONA DESERT DERMATOLOGY AND SURGERY PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan R Peterson | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael R Proctor | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Karyn L Abrahamson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| William G Anderson | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Ryan M Proctor | Dermatology | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Street Address |
2091 N SMOKETREE AVE SUITE 103 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5896 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan R Peterson | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Michael R Proctor | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Karyn L Abrahamson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| William G Anderson | Dermatology | Arizona Desert Dermatology and Surgery PC | 2091 N Smoketree Ave, Suite 103, Lake Havasu City, AZ 86403-5896 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE HAVASU CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tammy M 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.