Colleen M Smith (NPI# 1255330965, PAC ID# 6406934629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255330965 |
| PAC ID by PECOS | 6406934629 |
| Professional Enrollment ID | I20080429000002 |
| Full Name | Colleen M Smith |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Address |
120 Mcmillen Dr Newark OH 43055-1809 |
| Phone Number | 2205644806 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204740731 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| 360035 | MOUNT CARMEL WEST |
| Address | Phone | Organization |
|---|---|---|
| 120 Mcmillen Dr, Newark, OH 43055-1809 | 2205644806 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 36 Mcmillen Dr, Newark, OH 43055-1809 | 2205644270 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 88 Mcmillen Dr, Newark, OH 43055-1809 | 2205644270 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 1 Healthy Pl, Pataskala, OH 43062-7067 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Kearse | Obstetrics/gynecology | Licking Memorial Professional Corporation | 15 Messimer Dr, Newark, OH 43055-1841 |
| Michael Isaac Sniderman | Anesthesiology | Licking Memorial Professional Corporation | 1320 W Main St, Newark, OH 43055-1822 |
| Bradley R Lawson | Otolaryngology | Licking Memorial Professional Corporation | 36 Mcmillen Dr, Newark, OH 43055-1809 |
| Donald Fairbanks | Family Medicine | Licking Memorial Professional Corporation | 270 Goosepond Rd, Suite 102, Newark, OH 43055-3104 |
| Troy S Magaw | Physician Assistant | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Richard D Kennedy | Family Medicine | Licking Memorial Professional Corporation | 96 Integrity Dr, Hebron, OH 43025-7013 |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Jacob Z Slepian | Otolaryngology | Licking Memorial Professional Corporation | 88 Mcmillen Dr, Newark, OH 43055-1809 |
| Talya R Greathouse | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Stephen Pickstone | Psychiatry | Licking Memorial Professional Corporation | 200 Messimer Dr, Newark, OH 43055-3627 |
| Street Address |
120 MCMILLEN DR |
| City | NEWARK |
| State | OH |
| Zip | 43055-1809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy S Magaw | Physician Assistant | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Kathy Williams | Certified Registered Nurse Anesthetist (crna) | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Maureen Yablonski | Obstetrics/gynecology | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Joan M Crumrine | Nurse Practitioner | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Frances Charlene Briones Horenstein | Gastroenterology | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Matthew S Miller | Certified Registered Nurse Anesthetist (crna) | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Nathan H Kander | Interventional Cardiology | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Michael Mcfarlane | Emergency Medicine | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Maruf A Ali | Hospitalist | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Bassam Kret | Hospitalist | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Greer | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Harvinder S Gill | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Joshua R Thomas | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Asegid H Kebede | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Ilya G Goldenberg | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Alissa V Ackelson | Infectious Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Armand A Bermudez | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Michael J Kirwin | Family Practice | 2000 Tamarack Rd, Newark, OH 43055-1183 | |
| Gene Harrison | Chiropractic | 1951 Tamarack Rd, Newark, OH 43055-1300 | |
| Caroline Thompson | Clinical Social Worker | National Youth Advocate Program Inc | 2112 Cherry Valley Rd, Newark, OH 43055-1323 |
| Find all physicians in zip 43055 | |||
| City | NEWARK |
| Zip Code | 43055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Colleen 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.