Larry Smith (NPI# 1639131386, PAC ID# 8729061189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639131386 |
| PAC ID by PECOS | 8729061189 |
| Professional Enrollment ID | I20170724003308 |
| Full Name | Larry Smith |
| Organization Legal Name | DHHS IHS COLVILLE SERVICE UNIT |
| Address |
19 Lakes St Nespelem WA 99155-0000 |
| Phone Number | 5096342900 |
| Gender | M |
| Credential | DO |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941302509 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501308 | COULEE MEDICAL CENTER |
| 501324 | THREE RIVERS HOSPITAL |
| 501328 | MID VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19 Lakes St, Nespelem, WA 99155-0000 | 5096342900 | DHHS IHS COLVILLE SERVICE UNIT |
| 617 Benton St, Omak, WA 98841-9636 | 5094225683 | OMAK TRIBAL HEALTH CLINIC |
| Organization Legal Name | DHHS IHS COLVILLE SERVICE UNIT |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Mitchell | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Robert L Holman | Cardiovascular Disease (cardiology) | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Loren L Lewis | Family Medicine | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Connie Irene Edwards | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Alison M Pingitore | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Phillip Luther Shealy | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Theresa Caniff | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Johanna A. Claasen | Physician Assistant | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Kathy A Winzer | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Gregory Barcus | Optometry | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Street Address |
19 LAKES ST |
| City | NESPELEM |
| State | WA |
| Zip | 99155-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Mitchell | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Robert L Holman | Cardiovascular Disease (cardiology) | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Loren L Lewis | Family Medicine | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Connie Irene Edwards | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Alison M Pingitore | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Phillip Luther Shealy | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Theresa Caniff | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Johanna A. Claasen | Physician Assistant | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Kathy A Winzer | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Gregory Barcus | Optometry | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline M Sellner | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| City | NESPELEM |
| Zip Code | 99155 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NESPELEM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Larry 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.