Sidney Terrell Smith, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

7778 Issued in SC

Practice address

166 Stoneridge Dr
Columbia, SC 29210-8239

Phone

(803) 461-3000

Fax

(803) 461-4910

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Carolina Oncology Assoc PA

  • Hematology & Oncology Physician
  • Columbia, SC
  • NPI 1467406918

  Gynecologic Oncology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1265414593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2046",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291712046",
            "telephone_number": "803-461-3000",
            "fax_number": "803-461-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 STONERIDGE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108239",
            "telephone_number": "803-461-3000",
            "fax_number": "803-461-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIDNEY",
        "middle_name": "TERRELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "SC",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077785",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Michella Smith
• Shannon Irene Smith
• Sharee Carter Smith, PHARMD
• Sharon Lynn Smith
• Sheronda Quiller Smith
• Sinjin Kyle Smith
• Stephanie Malika Smith
• Stuart Millar Smith, MD
• Tabitha Marie Smith, LMSW
• Taylor Smith, PHARMD

• Gynecologic Oncology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Gynecologic Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.