| 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 | 
| 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 |