Pediatrics in VIDALIA, GA
Last Updated on : Feb 10,2022
CARYN J. MASTERMAN-SMITH is a Pediatrics provider in VIDALIA, United States. Her medical specialization is Pediatrics .
1598767857 is NPI number of CARYN J. MASTERMAN-SMITH.
CARYN J. MASTERMAN-SMITH's primary taxonomy code based on NPI Lookup is 208000000X with license number 63712. This taxonomy code refers to Pediatrics.
CARYN J. MASTERMAN-SMITH has more than 17 years of experience.
CARYN J. MASTERMAN-SMITH current practice location address is 125 CHURCH ST, VIDALIA, GA. CARYN J. MASTERMAN-SMITH can be reached out via phone at 912-538-8484 and via fax at 912-538-8665 .
You can also correspond with CARYN J. MASTERMAN-SMITH through mail at mailing address PO BOX 407, VIDALIA, GA, United States. Mailing address contact number is 912-537-4986.
The enumeration date of CARYN J. MASTERMAN-SMITH is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.Basic NPI information of CARYN J. MASTERMAN-SMITH (NPI 1598767857) is provided below.
Name | CARYN J. MASTERMAN-SMITH |
---|---|
National Provider Id (NPI) | 1598767857 |
Entity Type | Individual |
Gender | F |
Credential | D.O. |
Practice Address | 125 CHURCH ST,
VIDALIA, GA, United States |
Practice Telephone | 912-538-8484 |
Practice Fax Number | 912-538-8665 |
Mailing Address | PO BOX 407 ,
VIDALIA, GA, United States |
Mailing Telephone | 912-537-4986 |
Mailing Fax Number | |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 10-Feb-2022 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrics | 63712 | GA |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrics | OS8651 | FL |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
880935875A | MEDICAID (05) | GA |
Here are a few of the other providers in the same location.
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---|---|---|---|---|
1295953438 | A AND L ENTERPRISES INC | Durable Medical Equipment & Medical Supplies | PO BOX 9425,
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23-Apr-2007 |
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23-Apr-2007 |
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26-Oct-2006 |
1104044346 | A AND L OF NORTHEAST INC | Day Training, Developmentally Disabled Services | PO BOX 9425,
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23-Apr-2007 |
1396962502 | A AND L OF NORTHEAST INC | Durable Medical Equipment & Medical Supplies | PO BOX 9425,
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19-Apr-2007 |
1437377686 | A AND L OF NORTHEAST INC | Day Training, Developmentally Disabled Services | PO BOX 9425,
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23-Apr-2007 |
1346468592 | A AND L OF NORTHEAST INC | Day Training, Developmentally Disabled Services | PO BOX 9425,
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23-Apr-2007 |
1164640314 | A AND L OF NORTHEAST INC | Day Training, Developmentally Disabled Services | PO BOX 9425,
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23-Apr-2007 |
1962826511 | ACCORDIA HEALTHCARE LLC | Clinic/Center, Primary Care | 125 CHURCH ST,
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18-Feb-2014 |
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22-Oct-2021 |
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25-Aug-2005 |
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22-Oct-2018 |
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08-May-2019 |
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07-Jan-2020 |
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06-Jan-2020 |
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04-May-2018 |
1699225177 | AFFILIATED HEART2HEART HOMECARE SERVICES, INC. | In Home Supportive Care | 8211 SUMMA AVE STE A,
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10-Oct-2016 |
1013545599 | AFFILIATED HEART2HEART HOMECARE SERVICES, INC. | In Home Supportive Care | PO BOX 854,
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30-Mar-2020 |
1225588601 | AFFILIATED HEART2HEART HOMECARE SERVICES, INC. | In Home Supportive Care | 8211 SUMMA AVE STE A,
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10-Oct-2016 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1598767857 is the NPI number of CARYN J. MASTERMAN-SMITH.
What is the specialty for CARYN J. MASTERMAN-SMITH?The Specialty of CARYN J. MASTERMAN-SMITH is Pediatrics.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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