Frederic A Smith (NPI# 1528029287, PAC ID# 5991839599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528029287 |
| PAC ID by PECOS | 5991839599 |
| Professional Enrollment ID | I20100818000765 |
| Full Name | Frederic A Smith |
| Organization Legal Name | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| Address |
2750 Laurel St Suite 303 Columbia SC 29204-2025 |
| Phone Number | 8032521953 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9638475627 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| 420086 | PALMETTO HEALTH BAPTIST |
| 420018 | PALMETTO HEALTH RICHLAND |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| 420073 | LEXINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 | 8032521953 | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| Organization Legal Name | PROVIDENCE PHYSICIAN PRACTICES, LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri L Mccain | Nurse Practitioner | Providence Physician Practices, LLC | 2351 Augusta Hwy, Lexington, SC 29072-2213 |
| Nusrat Ul Shafi | Family Medicine | Providence Physician Practices, LLC | 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9785 |
| Robert P Zurcher | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| Donna S Cambron | Nurse Practitioner | Providence Physician Practices, LLC | 2435 Forest Dr, Columbia, SC 29204-2026 |
| John P Sutton Iii | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Whitney P Pitts | Nurse Practitioner | Providence Physician Practices, LLC | 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Kelly Cho Harris | General Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 200aandb, Columbia, SC 29204-2038 |
| Vaughn Rex Barnick | Internal Medicine | Providence Physician Practices, LLC | 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 |
| Street Address |
2750 LAUREL ST SUITE 303 |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Zurcher | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| John P Sutton Iii | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| Whitney P Pitts | Nurse Practitioner | Providence Physician Practices, LLC | 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 |
| Kelly Cho Harris | General Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 200aandb, Columbia, SC 29204-2038 |
| Vaughn Rex Barnick | Internal Medicine | Providence Physician Practices, LLC | 2750 Laurel St, Suite 303, Columbia, SC 29204-2025 |
| Benjamin D Massey | Gastroenterology | 2750 Laurel St, Suite 201, Columbia, SC 29204-2024 | |
| Eric Jerome Gourley | General Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 200aandb, Columbia, SC 29204-2038 |
| Edward M Leppard | Cardiac Surgery | Providence Physician Practices, LLC | 2750 Laurel St, Suite 305, Columbia, SC 29204-2025 |
| Meredith Watson | Nurse Practitioner | Providence Physician Practices, LLC | 2750 Laurel St, Suite 200aandb, Columbia, SC 29204-2038 |
| Jeannie M Woody | Audiologist | Palmetto Ent Consultants Pa | 2750 Laurel St, Columbia, SC 29204-2024 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLUMBIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Frederic A 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.