JAMESY CHARLES SMITH (NPI# 1053632935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053632935 |
| Entity Type | Individual |
| Full Name | JAMESY CHARLES SMITH |
| Credential | D.O. |
| Practice Address |
1103 W Liberty St Farmington MO 63640-1921 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 5737566751 |
| Practice Fax Number | 5737566807 |
| Mailing Telephone | 5737566751 |
| Mailing Fax Number | 5737566807 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2009018166 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BNDD | 995324600 | 01 |
| MO | DEA | FS1507106 | 01 |
| MO | PHYSICIAN LICENSE # | 2009018166 | 01 |
| Street Address |
1103 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834187 | Raul A Borrego | Internal Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2006-01-04 |
| 1568985802 | Piyush Srivastava | Pediatrics | 1103 W Liberty St, Farmington, MO 63640-1921 | 2017-07-19 |
| 1457896664 | Jason Edward Portell | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-12-23 |
| 1154875169 | Megan D Huhman | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-08-08 |
| 1427401017 | Lauren Oberle | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-07-19 |
| 1154771715 | Joan Azoury | Obstetrics & Gynecology | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-06-14 |
| 1447612601 | Andrea Fisher | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-03-25 |
| 1578948188 | Reshma Eugene | Family Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2015-07-24 |
| 1093193377 | John David Edward Cooper | Obstetrics & Gynecology | 1103 W Liberty St, Farmington, MO 63640 | 2015-05-07 |
| 1346641115 | Tara R Wadlow | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1063891570 | Jantzen T Slater | Family Medicine | 199 E. Main St., Farmington, AR 72730-3077 | 2015-05-29 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| 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.