Charlie D Smith Iii (NPI# 1003874892, PAC ID# 5395648117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1003874892 |
| PAC ID by PECOS | 5395648117 |
| Professional Enrollment ID | I20040611000452 |
| Full Name | Charlie D Smith Iii |
| Organization Legal Name | WILLIAMSBURG REGIONAL HOSPITAL |
| Address |
500 Thurgood Marshall Hwy Suite G Kingstree SC 29556-0568 |
| Phone Number | 8433550180 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 7911994553 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 421303 | WILLIAMSBURG REGIONAL HOSPITAL |
| 430077 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 E 3rd St, Duluth, MN 55805-1951 | 2187868364 | THE DULUTH CLINIC LTD |
| 500 Nelson Boulevard, Kingstree, SC 29556-4027 | 8433549661 | WILLIAMSBURG REGIONAL HOSPITAL |
| 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 | 8433550180 | WILLIAMSBURG REGIONAL HOSPITAL |
| 4150 5th St, Rapid City, SD 57701-6022 | 6057554300 | RAPID CITY REGIONAL HOSPITAL INC |
| Organization Legal Name | WILLIAMSBURG REGIONAL HOSPITAL |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Kitchen | Emergency Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Wright Sparks Skinner Iii | Orthopedic Surgery | Williamsburg Regional Hospital | 402 Nelson Blvd 400, 200 Ocean Cardiology, Kingstree, SC 29556-4058 |
| Ariane U Lieberman | Cardiovascular Disease (cardiology) | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy F, Kingstree, SC 29556-4143 |
| Angela Allen Morris | Nurse Practitioner | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Robert W Rhame Jr. | Family Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Michelle L Butterworth | Podiatry | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4143 |
| Jessica M Grimsley | Nurse Practitioner | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 |
| Joseph S Asaro | General Surgery | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Samuel J Tomlinson Iii | Family Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Sabrina G Obrien | Internal Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Street Address |
500 THURGOOD MARSHALL HWY SUITE G |
| City | KINGSTREE |
| State | SC |
| Zip | 29556-0568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Butterworth | Podiatry | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4143 |
| Jessica M Grimsley | Nurse Practitioner | Williamsburg Regional Hospital | 500 Thurgood Marshall Hwy, Suite G, Kingstree, SC 29556-0568 |
| Frank A Trefny | General Practice | 500 Thurgood Marshall Hwy, Suite H, Kingstree, SC 29556-4143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary L Carney | Chiropractic | 1248 N Longstreet St, Kingstree, SC 29556-2748 | |
| Ernest M Atkinson | Family Medicine | Carolina Family Care Inc | 342 W Main St, Kingstree, SC 29556-3235 |
| Richard K Ellis | Family Medicine | Carolina Family Care Inc | 342 W Main St, Kingstree, SC 29556-3235 |
| Albert D Mims | Family Medicine | Carolina Family Care Inc | 342 W Main St, Kingstree, SC 29556-3235 |
| Kevin A Morris | Chiropractic | 303 E Main St, Kingstree, SC 29556-3512 | |
| Brandi Powell Russ | Nurse Practitioner | Ohio Valley Physicians Inc | 115 Short St, Suite C, Kingstree, SC 29556-3924 |
| Edward Johnson | Optometry | 409 Martin Luther King Ave, Kingstree, SC 29556-4016 | |
| Michael S Kitchen | Emergency Medicine | Williamsburg Regional Hospital | 500 Nelson Boulevard, Kingstree, SC 29556-4027 |
| Paul A Gulledge | Nurse Practitioner | Mcleod Physician Associates II | 512 Nelson Blvd, Suite 200, Kingstree, SC 29556-4027 |
| Carl D Geier | Diagnostic Radiology | Carl D. Geier Md LLC | 500 Nelson Blvd, Kingstree, SC 29556-4027 |
| Find all physicians in zip 29556 | |||
| City | KINGSTREE |
| Zip Code | 29556 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | KINGSTREE + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Charlie D Smith Iii.
| 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.