Stephen John Smith
Urology

Address: 4 Elliot Way, Suite 200, Manchester, NH 03103-3547
Phone: 6036699200

Stephen John Smith (NPI# 1639155427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1639155427
Entity Type Individual
Full Name Stephen John Smith
Credential M.D.
Gender Male
Practice Address 4 Elliot Way
Suite 200
Manchester
NH 03103-3547
Practice Telephone 6036699200
Practice Fax Number 6036242210
Mailing Address 4 Elliot Way
Suite 200
Manchester
NH 03103-3547
Sole Proprietor Not Answered
Enumeration Date 2005-12-22
Last Update Date 2007-07-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208800000X Urology Allopathic & Osteopathic Physicians 7368 NH

Other Provider Identifier

State Identifier Issuer Type Code
NH 81343603 MEDICAID

Other Providers STEPHEN SMITH

NPI Name Taxonomy Address Enumeration
1922579549 Stephen Dustin Smith Social Worker 600 Peachtree Pkwy Ste 112, Cumming, GA 30041-6899 2018-12-07
1275025041 Stephen C Smith Student in an Organized Health Care Education/Training Program 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 2018-06-06
1437653706 Stephen Michael Smith Student in an Organized Health Care Education/Training Program 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 2018-03-21
1659809028 Stephen Jerome Smith Emergency Medical Technician, Basic 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 2017-05-30
1386019867 Stephen William Smith Psychologist 2312 Plantation Dr, Virginia Beach, VA 23454-2739 2015-12-09
1548666068 Stephen Smith Massage Therapist 626 E 4th St, Tonganoxie, KS 66086-9219 2014-11-11
1588067706 Stephen Patrick Smith Optometrist 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 2014-10-01
1942600044 Stephen Smith Student in an Organized Health Care Education/Training Program 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 2014-08-26
1942619986 Stephen Estes Smith Dentist Psc 477 Box 25354, Fpo, AP 96306-0254 2014-08-04
1043628829 Stephen Smith Counselor 520 Orchard Ln, Penngrove, CA 94951-9659 2014-07-24

Physician Overview

NPI 1639155427
PAC ID by PECOS 2668407610
Professional Enrollment ID I20050928001394
Full Name Stephen J Smith
Organization Legal Name MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION
Phone Number 6036699200
Gender M
Credential MD
Medical School UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year 1981
Primary Specialty UROLOGY
Group Practice PAC ID 6406877760
Number of Group Practice Members 14
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
300012 ELLIOT HOSPITAL
300034 CATHOLIC MEDICAL CENTER
300003 MARY HITCHCOCK MEMORIAL HOSPITAL

Office Location

Street Address 4 ELLIOT WAY
SUITE 200
City MANCHESTER
State NH
Zip Code 03103-3547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891771838 Mary Elizabeth Fitzpatrick Nurse Practitioner 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2005-12-21
1225432347 Patty M Dumont Nurse Practitioner 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2014-10-17
1215204045 Lauren T Flood Physician Assistant 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2011-11-22
1871886291 Manchester Urology Associates, Pa Physician Assistant 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2011-05-18
1790075786 Hoertdoerfer Dentistry, Pllc Dentist 4 Elliot Way, Suite 306, Manchester, NH 03103-3547 2011-04-12
1699091546 Trisha Juliano Kammann Student in an Organized Health Care Education/Training Program 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2010-04-18
1821246976 Elliot Professional Services Surgery 4 Elliot Way, Suite 201, Manchester, NH 03103-3547 2008-09-03
1619130820 Marcio Jablonka Internal Medicine 4 Elliot Way, Manchester, NH 03103-3547 2008-07-08
1861687808 Connelly Dentistry PC Dentist 4 Elliot Way, Suite 306, Manchester, NH 03103 2007-09-12
1043427438 Samuel T Snipes Urology 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2007-05-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023583374 Melissa K Bascom Social Worker C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 2018-10-12
1538650650 Bluestone Healthcare Services L.l.c. Physician Assistant Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 2018-05-24
1538662424 Minal Jamkhande Pharmacist 50 S Willow Street, Manchester, NH 03103 2018-03-16
1447776240 Manchester Health Supplies Durable Medical Equipment & Medical Supplies 373 S Willow Street, #328, Manchester, NH 03103 2017-08-14
1184145898 Susan E Herman Physical Therapist 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 2017-07-03
1316476757 Sara Rose Hanrahan Occupational Therapist 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 2017-06-08
1457802811 Holly Ann Cekala Counselor 140 Central St, Manchester, NH 03103 2016-10-20
1972987006 Families In Transition Counselor 177 Lake Ave, Manchester, NH 03103 2015-07-18
1114301249 Families In Transition Counselor 282 Belmont St, Manchester, NH 03103 2015-07-18
1083092282 Alexander Michael Jones Family Medicine 4 Elliot Way Ste 105, Manchester, NH 03103 2015-05-08
Find all providers in zip 03103

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639260847 Derrick S Tooth Urology 1053 Western Ave, Manchester, ME 04351-3403 2006-09-27
1396852786 Armando E Lopez Urology 718 Smyth Rd Fl 3, Manchester, NH 03104 2006-08-23
1942276977 Arthur E. Lamontagne Jr. Urology 116 E Center St, Manchester, CT 06040-5215 2006-02-28
1922089903 Gary Douglas Corrie Urology 822 Mcarthur St, Manchester, TN 37355 2005-11-08
1578805164 John James Griffith Urology 360 Tolland Tpke, Manchester, CT 06042 2013-03-21
1689842544 Sidney Robert Katz Urology 781 Smyth Rd, Va Medicalcenter, Manchester, NH 03104 2008-02-13
1174705313 David Jeremy Rosenberg Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-11-29
1043427438 Samuel T Snipes Urology 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2007-05-17
1821204579 Associated Urologists PC Urology 116 E Center St, Suite 19, Manchester, CT 06040-5215 2007-05-16
1841347713 Christopher Girasole Urology 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2007-01-04
Find all providers in MANCHESTER

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City MANCHESTER
Zip Code 03103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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