Kimberly Smith (NPI# 1003042730, PAC ID# 7911294087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003042730 |
| PAC ID by PECOS | 7911294087 |
| Professional Enrollment ID | I20160919000816 |
| Full Name | Kimberly Smith |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Address |
233 S 6th St Apt 302 Philadelphia PA 19106-3750 |
| Phone Number | 3523596484 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1557589157 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| 210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
| 210018 | MEDSTAR MONTGOMERY MEDICAL CENTER |
| 210034 | MEDSTAR HARBOR HOSPITAL |
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3001 S Hanover St, Baltimore, MD 21225-1233 | 4103503300 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 3014756106 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 233 S 6th St, Apt 302, Philadelphia, PA 19106-3750 | 3523596484 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 | 2028776429 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 | 2024443400 | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP RADIOLOGY LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Igor Trilisky | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 6600 N Whipple St, Chicago, IL 60645-4121 |
| Behnaz Goudarzi | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 4460 Doncaster Dr, Ellicott City, MD 21043-6797 |
| David C Moses | Nuclear Medicine | Medstar Medical Group Radiology LLC | 750 Chapel Ridge Rd, Timonium, MD 21093-1897 |
| Navid R Homayouni | Nuclear Medicine | Medstar Medical Group Radiology LLC | 70 I St Se, Apt 932, Washington, DC 20003-4833 |
| Kaustubh Subhash Yadwadkar | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Angela Denise Levy | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 3800 Reservoir Rd Nw, Dept of Radiology, Washington, DC 20007-2113 |
| Sheil Y Shah | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Namik Haveric | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 110 Irving St Nw, Dept of Rad Rm Ba94, Washington, DC 20010-3017 |
| Street Address |
233 S 6TH ST APT 302 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19106-3750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Naseef | Psychologist, Clinical | 319 Vine St, Suite 110, Philadelphia, PA 19106-1126 | |
| Cindy N Ariel | Psychologist, Clinical | 319 Vine St, Apt 110, Philadelphia, PA 19106-1126 | |
| Godfred Eyiah-mensah | General Practice | 250 N Columbus Blvd, Apt 707, Philadelphia, PA 19106-1458 | |
| Bruce H Levin | Anesthesiology | 3 N 2nd St, Philadelphia, PA 19106-2208 | |
| Robert A Mandel | Psychologist, Clinical | 111 S Independence Mall E, Suite 720, Philadelphia, PA 19106-2515 | |
| John R Stanley | Dermatology | University of Penn Medical Group | 51 N 39th Street Mab, Philadelphia, PA 19106-2640 |
| Bruce J Thaler | Diagnostic Radiology | Glendora Radiological Assoc Inc | 110 S Front St, Philadelphia, PA 19106-3000 |
| Andrew Donald Peshek | Psychiatry | 128 Chestnut St, Suite 104, Philadelphia, PA 19106-3024 | |
| Kaycee Beglau | Clinical Psychologist | 128 Chestnut St, Philadelphia, PA 19106-3024 | |
| Barry L Silverman | Chiropractic | 123 Chestnut St, Suite 204, Philadelphia, PA 19106-3051 | |
| Find all physicians in zip 19106 | |||
| City | PHILADELPHIA |
| Zip Code | 19106 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PHILADELPHIA + DIAGNOSTIC RADIOLOGY |
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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.