Clark M Smith Ii, MD | |
347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 | |
(651) 220-6732 | |
(651) 220-6005 |
Full Name | Clark M Smith Ii |
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Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 347 N Smith Ave, St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801869946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21808 (Minnesota) | Primary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 21808 (Minnesota) | Primary |
Entity Name | Children's Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
---|---|
Clark M Smith Ii, MD 2910 Centre Pointe Dr, 35-121a Childrens Health Care, Roseville, MN 55113 Ph: (651) 855-2327 | Clark M Smith Ii, MD 347 N Smith Ave, Childrens Specialty Clinic Hematology Oncology Stpl, St Paul, MN 55102 Ph: (651) 220-6732 |
Yoav H Messinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 347 North Smith Avenue, St Paul, MN 55102 Phone: 651-220-6732 Fax: 651-220-6005 | |
Kimberly K Rathmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104 Phone: 651-999-4700 Fax: 651-999-4781 | |
Krishna M Saxena, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Children's Specialty Clinic-diabetes/endocrinology-stpl, 347 North Smith Avenue, St Paul, MN 55102 Phone: 651-220-6818 Fax: 651-220-6064 | |
Dr. Carolyn J Levitt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 North Smith Avenue, 401, Midwest Childrens Resource Center, St Paul, MN 55102 Phone: 651-220-6750 Fax: 651-220-6770 | |
Sylvia M Sekhon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6205 | |
Susan C Goodale, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 393 N Dunlap St, Suite 300, St Paul, MN 55104 Phone: 651-645-4693 Fax: 651-645-6503 | |
Richard D Andersen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 Phone: 651-220-6444 Fax: 651-220-7233 |