| Dr Eden Lowell Smith, MD | |
|
680 Guzzi Ln, Ste 201, Sonora, CA 95370-5288 | |
| (209) 536-1785 | |
| (209) 536-1607 |
| Full Name | Dr Eden Lowell Smith |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 680 Guzzi Ln, Sonora, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518908276 | NPI | - | NPPES |
| G191480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G19148 (California) | Primary |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eden Lowell Smith, MD 680 Guzzi Ln, Suite 201, Sonora, CA 95370-5288 Ph: (209) 536-1785 | Dr Eden Lowell Smith, MD 680 Guzzi Ln, Ste 201, Sonora, CA 95370-5288 Ph: (209) 536-1785 |
Meredith R Mcbride, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 Greenley Rd, Suite 923, Sonora, CA 95370 Phone: 209-536-5090 Fax: 209-536-3585 | |
William G Stone, MD Surgery Medicare: Medicare Enrolled Practice Location: 900 Greenley Rd, Sonora, CA 95370 Phone: 605-593-3688 | |
Dr. Stephen James Hopkins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Lane, Suite 103, Sonora, CA 95370 Phone: 209-532-5528 Fax: 209-532-5598 | |
Brandon Jackson Painter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 209-536-5750 | |
Dr. Gideon Pieter Naude, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 137 South Shepherd Street, Sonora, CA 95370 Phone: 209-588-8777 | |
Carl J Hauser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Greenley Rd, Sonora, CA 95370 Phone: 617-632-9929 |