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Physician Compare National (NPI:1821491200)

HEALTHCARE PROVIDER: DON SMITH

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1821491200
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1850616160
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150209000832
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SMITH
Individual professional last name
Provider First Name DON
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name REHABILITATION AND NEUROLOGICAL SERVICES LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9234156027
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2700 TRIANA SWBLVD
Group Practice or individual's line 1 address
City HUNTSVILLE
Group Practice or individual's city
State AL
Group Practice or individual's state
Zip Code 358054046
Group Practice or individual's zip code (9 digits when available)
Phone Number 2568859708
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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