Lavada Smith (NPI# 1164691945, PAC ID# 8921184813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164691945 |
| PAC ID by PECOS | 8921184813 |
| Professional Enrollment ID | I20080318000257 |
| Full Name | Lavada Smith |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
894 Leland Ave Saint Louis MO 63130-3239 |
| Phone Number | 3147264767 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260219 | PROGRESS WEST HOSPITAL |
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 3143446000 | HOSPITALIST MEDICINE PHYSICIANS OF MISSOURI - BRIDGETON, INC. |
| 2 Progress Point Ct, O Fallon, MO 63368-2208 | 6363442273 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 3147688000 | HOSPITALIST MEDICINE PHYSICIANS OF MISSOURI - RICHMOND HEIGHTS INC |
| 894 Leland Ave, Saint Louis, MO 63130-3239 | 3147264767 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 10 Hospital Dr, Saint Peters, MO 63376-1659 | 8005019855 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Khai Chieu Truong | Family Medicine | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
894 LELAND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63130-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farrukh M Koraishy | Nephrology | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kimberly H Harsy | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Michelle L Deguire | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Scott M Dembiec | Internal Medicine | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Jennifer R Herndon | Physician Assistant | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Muhammad Naeem | Internal Medicine | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Hassan L Alkhawam | Internal Medicine | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Huey Hawkins Jr. | Clinical Social Worker | 8434 Page Ave, Saint Louis, MO 63130-1046 | |
| Secil A Schodroski | Nurse Practitioner | 7584 Olive Blvd, Suite 204, University City, MO 63130-1600 | |
| Meghan R Taff | Physical Therapy | Physican's Choice Wellness Physical Therapy, LLC | 7700 Olive Blvd, University City, MO 63130-2030 |
| Matthew Gibfried | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Juan C Escandon | Neurology | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Vladimir L Gelfand | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Nelson Usry | Family Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Stephen J Costantino | Chiropractic | 909 Purdue Ave, University City, MO 63130-3012 | |
| Alice L Aslin | Psychologist, Clinical | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | |
| Linda J Weiner | Clinical Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | |
| Find all physicians in zip 63130 | |||
| City | SAINT LOUIS |
| Zip Code | 63130 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lavada 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.