Catherine S Smith, MD | |
713 E Marion Ave Ste 133, Punta Gorda, FL 33950-3868 | |
(941) 833-1777 | |
(941) 347-8544 |
Full Name | Catherine S Smith |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Location | 713 E Marion Ave Ste 133, Punta Gorda, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851351407 | NPI | - | NPPES |
010148987 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0101225426 (Virginia) | Secondary |
207Y00000X | Otolaryngology | ME138387 (Florida) | Primary |
Entity Name | Shenandoah Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952417735 PECOS PAC ID: 2466360375 Enrollment ID: O20040115001156 |
Entity Name | Shenandoah Head And Neck Specialists, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659478485 PECOS PAC ID: 7416908546 Enrollment ID: O20050207000555 |
Entity Name | Shenandoah Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407357015 PECOS PAC ID: 2466360375 Enrollment ID: O20180430001662 |
Mailing Address | Practice Location Address |
---|---|
Catherine S Smith, MD 713 E Marion Ave Ste 133, Punta Gorda, FL 33950-3868 Ph: (941) 833-1777 | Catherine S Smith, MD 713 E Marion Ave Ste 133, Punta Gorda, FL 33950-3868 Ph: (941) 833-1777 |
Olawale O Idewu, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 103 W Marion Ave, Punta Gorda, FL 33950 Phone: 941-205-5555 Fax: 941-205-5558 | |
Dr. John A Moss, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 6230 Scott St, Suite 111, Punta Gorda, FL 33950 Phone: 941-637-5780 Fax: 941-637-5765 | |
Michael Lepore, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 713 E Marion Ave Ste 133, Punta Gorda, FL 33950 Phone: 941-833-1777 Fax: 941-347-8544 | |
Michael Stampar, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 201 W Marion Ave Unit 1314, Punta Gorda, FL 33950 Phone: 941-505-0888 Fax: 941-505-0890 |