| Larry Alan Smith, DPM | |
|
1041 4th St, Ste B, Santa Rosa, CA 95404 | |
| (707) 526-4777 | |
| (707) 526-8809 |
| Full Name | Larry Alan Smith |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 1041 4th St, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609979822 | NPI | - | NPPES |
| 7704019 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 000E21510 (California) | Primary |
| Provider Name | Santa Rosa Community Health Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Alan Smith, DPM 1041 4th St, Ste B, Santa Rosa, CA 95404 Ph: (707) 526-4777 | Larry Alan Smith, DPM 1041 4th St, Ste B, Santa Rosa, CA 95404 Ph: (707) 526-4777 |
North Bay Foot And Ankle Clinic, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1041 4th St, Suite B, Santa Rosa, CA 95404 Phone: 707-546-2107 Fax: 707-573-0315 | |
John Dirk Hollander, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 95 Montgomery Dr Ste 114, Santa Rosa, CA 95404 Phone: 707-578-1222 Fax: 707-578-8348 | |
Kevin Grierson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2281 Cleveland Ave, Santa Rosa, CA 95403 Phone: 707-544-3337 | |
Northern California Medical Assoc Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4761 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-545-0570 Fax: 707-545-0575 | |
John D Hollander Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 95 Montgomery Dr Ste 114, Santa Rosa, CA 95404 Phone: 707-578-1222 Fax: 707-578-8348 | |
Ashleigh E Korves, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4750 Hoen Ave Ste B, Santa Rosa, CA 95405 Phone: 707-575-6033 Fax: 707-573-6157 | |
Sharon M. Wiles, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |