Physicians | Access MD

Joined on

01/01/2021

Active

Screened on

02/14/2021

By Adam Luke

Assignments

14

Offers: 26

Total revenue

$103,450.00

Balance: $3,400.00

Assignment in progress

Assignment ID
A22-11018

Hospital
NYU Langone Health

Start date
11/17/2022

Consultant
Nikolas Mcguire

Service agreement
View signed document

Submit time sheet

19 remaining days

57 days in total

Past assignments: 14

ID	Hospital	Start date	Consultant
A22-11018 11/15/2022	Cedars-Sinai Medical Center Los Angeles, CA 90048	02/14/2022 55 days	Adam Luke
A22-11016 10/27/2022	Johns Hopkins Hospital Baltimore, MD 21287	01/29/2023 18 days	Adam Luke
A22-11015 10/21/2022	Cleveland Medical Center Cleveland, OH 44195	01/12/2023 18 days	Alina Perez
A22-11015 08/28/2022	NYU Langone Health New York, NY 10016	11/02/2022 29 days	Somnath Nair
A22-11014 08/28/2022	UCSF Medical Center Cleveland, OH 44195	11/04/2022 41 days	Adam Luke
A22-11013 03/12/2022	Brigham and Women's Hospital Los Angeles, CA 90048	07/27/2022 9 days	Samiksha Nair
A22-11013 05/17/2022	Massachusetts General Hospital New York, NY 10016	09/24/2022 17 days	Adam Luke

Display: of 14 entries

Personal details

Full name Dr Talia Helena Smith

Previous/Maiden name n/a

Speciality Neurointerventional Surgery

Date of birth 02/14/1972

Place of birth Saline, MO, USA

Gender Prefer not to state

Email address talia.h.smith@organisation.com

Phone number (561) 345-789

Mobile number (123) 654-009

Residency status/Work permit US Citizen | View passport

Social Security Number · · · · · · · · · · ·

Driver's license MO 56789-321654

Permanent/mailing address

Permanent address 6080 N US 75-Central Expy 1000 #150, Dallas, TX 75206, United States

Mailing address Use permanent address

Emergency contact

Privileges

Education

Medical education

2014 - 2018

Obstetrics and gynecology

Post graduate diploma

FSU College of Medicine - Regional Campus
Orlando, FL

View certificate

Residency education

2019 - 2021

Oral & Maxillofacial Surgery

Postgraduate Year Four (PGY-4)

Oxford School of Medicine
London, United Kingdom

View certificate

ECFMG

2001 - 2005

Neonatal - Perinatal Medicine

Fifth Pathway certificate

Eastern Connecticut State University
Willimantic, CT

Certificate unavailable

Internship education

1996 - 1999

Neurology

Postgraduate Year Four (PGY-4)

Yale School of Medicine
New Haven, CT

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Education type

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Speciality/Subject

Achievement/Qualification

Institution name

Town/City

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State

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Certifications

Board certification

Active

Royal Colleges of Physicians in England

Certificate number: 7754397474

Issue date
12/31/2012

Expiration date
12/31/2022

View certificate

Board certification

Expired

Board of Medical Oncology Certification

Certificate number: 1638—663007

Issue date
12/12/2014

Expiration date
12/12/2017

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Name of board

How many times have you taken the exam and failed to pass?

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Expiration date

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Licenses

CDS, DEA and state licenses

License type	State	License no.	Issue date	Expiration date
DEA license	Kentucky	KT2345/43002	12/12/2016	12/12/2017
State license	Massachusetts	HGY876509-TG	09/21/2021	09/21/2023
State license	Tennessee	KT2345/43002	09/21/2020	12/12/2021
DEA license	Oklahoma	2345-43002	02/12/2021	02/12/2022
CDS license	Illinois	9867400001-2K	12/12/2020	12/12/2023
State license	Kentucky	KT2345/43002	05/11/2022	105/11/2024

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Notes

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Employment history

List all current and/or previous employment positions — Please include hospitals, health systems, and ambulatory surgery centers where you have ever had an afiliation (membership and/or privileges) or where you have an application in process.

PLEASE NOTE

You must explain all employment gaps in your resumé — Explain employment gaps

Locums position: Weatherby Healthcare

Nerology trainee nurse

Johns Hopkins Bayview Medical Center
Baltimore, MD 21224

Start date
02/12/2022

End date
Present

Department
Lung Cancer Surgery

Point of contact
Wilson Castro | wilson.gastro@hopkins.org | 351-348-9834

Direct employment

Nerology trainee nurse

Johns Hopkins Bayview Medical Center
Baltimore, MD 21224

Start date
12/12/2014

End date
01/15/2022

Department
Lung Cancer Surgery

Point of contact
Wilson Castro | wilson.gastro@hopkins.org | 351-348-9834

Employment gap

Marshmallow I love cheesecake bonbon. Toffee macaroon croissant macaroon sweet roll. Jelly brownie ice cream wafer sugar plum macaroon. Marzipan cake I love shortbread lollipop.

Sugar plum sugar plum pie I love gummi bears sweet roll bear claw. Jelly-o dessert cookie powder I love dessert wafer jelly-o candy. Danish ice cream dragée wafer topping topping icing chocolate chupa chups. Sugar plum sugar plum pie I love gummi bears sweet roll bear claw. Jelly-o dessert cookie powder I love dessert wafer jelly-o candy. Danish ice cream dragée wafer topping topping icing chocolate chupa chups.

Jelly brownie ice cream wafer sugar plum macaroon — Marzipan cake.

Start date
12/12/2012

End date
10/01/2014

Military service

US military

Marine Corps

Start date
10/13/2004

End date
12/03/2012

Type of discharge
Other than honorable (OTH) discharge

Military discharge
Download DD-124

Locums position: Hayes Locums

Nerology trainee nurse

Johns Hopkins Bayview Medical Center
Baltimore, MD 21224

Start date
02/12/2003

End date
01/01/2004

Department
Lung Cancer Surgery

Point of contact
Wilson Castro | wilson.gastro@hopkins.org | 351-348-9834

Entry type

Company name If Locum or private contract

Position held

Start date

End date

Employer details

Institution name i.e Nurse

Department i.e Lung Cancer Surgery

City/Town

Country

State

ZIP code

Point of contact

Full name For referencing purpose

Email address

Phone number

Position held

Start date

End date

Employer details

Institution name i.e Nurse

Department i.e Lung Cancer Surgery

City/Town

Country

State

ZIP code

Point of contact

Full name For referencing purpose

Email address

Phone number

Service

Branch

Start date

End date

Type of discharge

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To date

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Service

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Start date

End date

Type of discharge

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From date

To date

Notes

Employment type

Company name If Locum or private contract

Position held

Start date

End date

Employer details

Institution name i.e Nurse

Department i.e Lung Cancer Surgery

City/Town

Country

State

ZIP code

Point of contact

Full name For referencing purpose

Email address

Phone number

Licensing examinations

COMLEX — Comprehensive Osteopathic Medical Licensing Examination

No COMLEX — Comprehensive Osteopathic Medical Licensing Examination — Add

Insurance

Insurance policies

Insurance provider	Cover type		Policy no.	Issue date	Expiration date
Aspen American Insurance Company	Malpractice		KT2345/43002	12/04/2022	12/04/2023
Molina Healthcare, Inc	Type omega		KT2345/43002	12/04/2021	12/04/2022

Insurance type

Insurance provider

Policy number

Issue date

Expiration date

Notes

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Max size allowed: 10MB

Peer references

Please provide four professional references with whom you have had clinical contact within the last 12 months. Two of your references must be within your medical specialty.

If none is available in that time frame, please provide us with an explanation.

PLEASE NOTE

If you are just completing a residency or fellowship please list your program director as one of the references.
Co-Residents are not accepted, sorry!

Prof Thomas Loveduck j.smith@university.edu 561-345-9921

Available

Position/Profession

Assistant neurology nurse

Speciality

Otolaryngology

Insitution

Jersey City Hospital

Address

355 Grand St
Jersey City
NJ 07302
United States

Dr Allen Alexandar alexandara@university.edu 561-345-9921

Available

Position/Profession

Assistant neurology nurse

Speciality

Otolaryngology

Insitution

Saint Michael's Medical Center

Address

11 Central Avenue
Newark
NJ 07102
United States

Dr Jonathan Smith j.smith@university.edu 561-345-9921

Available

Position/Profession

Assistant neurology nurse

Speciality

Otolaryngology

Insitution

Saint Michael's Medical Center

Address

11 Central Avenue
Newark
NJ 07102
United States

Miss Siena Rabbit siena@lab-a.net 561-345-9921

Available

Position/Profession

Neurosurgeon

Speciality

Otolaryngology

Insitution

Saint Michael's Medical Center

Address

11 Central Avenue
Newark
NJ 07102
United States

Title

First name

Last name

Email address

Phone number

Speciality

Position / Profession

Institution name

Address

Town/City

State

ZIP code

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Documents

Emails

Activities

Assignment accepted

11/20/2022 07:31 by physician

Assignment offer
UCF Lake Nona Hospital

11/19/2022 15:53 by Samiksha Nair

Application screened Accepted
Applicant is now a physician in the system

11/02/2022 18:40 by Samiksha Nair

Application resubmitted Awaiting screening

10/29/2022 13:10 by applicant

Application screened Rejected

10/26/2022 08:03 by Somnath Nair

Application submitted Awaiting screening

10/25/2022 09:15 by applicant

Profile updated

10/23/2022 18:40 by applicant

Physician's email address verified

10/21/2022 10:40 by applicant

Application created

10/18/2022 18:39 by Adam Luke

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01/01/2021

02/14/2021

14

$103,450.00

Assignment in progress

Past assignments: 14

Personal details

Permanent/mailing address

Emergency contact

Privileges

Education

Medical education

Residency education

ECFMG

Internship education

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Certifications

Board certification

Board certification

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Licenses

CDS, DEA and state licenses

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Employment history

Locums position: Weatherby Healthcare

Direct employment

Employment gap

Military service

Locums position: Hayes Locums

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Licensing examinations

COMLEX — Comprehensive Osteopathic Medical Licensing Examination

Insurance

Insurance policies

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Peer references

Documents

Emails

Activities

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