| Dr Stanley B Smith, MD | |
|
2790 Godwin Blvd, Suite 255, Suffolk, VA 23434-8151 | |
| (757) 925-0411 | |
| (757) 925-0412 |
| Full Name | Dr Stanley B Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 2790 Godwin Blvd, Suffolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902895899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 0101029757 (Virginia) | Primary |
| Entity Name | Nephrology Associates Of Tidewater Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518990423 PECOS PAC ID: 3173426558 Enrollment ID: O20040202000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanley B Smith, MD 6160 Kempsville Cir, Suite 302a, Norfolk, VA 23502-3933 Ph: (757) 466-9288 | Dr Stanley B Smith, MD 2790 Godwin Blvd, Suite 255, Suffolk, VA 23434-8151 Ph: (757) 925-0411 |
Dr. James J Stark, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872 | |
Dr. Harish V Iyer, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203 | |
Mrs. Zia Ann Khould, CNP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-397-4200 | |
Dr. Thomas Vincent Whelan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561 | |
Dr. Demetria Yvette Austin, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-967-8622 Fax: 757-686-0541 | |
Hussein Mohamed Aboulatta, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564 | |
Dr. Michael T Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660 |