MR. RYAN LEE SMITH (NPI# 1053633297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053633297 |
| Entity Type | Individual |
| Full Name | MR. RYAN LEE SMITH |
| Credential | PA-C |
| Practice Address |
1233 N Northwood Center Ct Ste 101 Coeur D Alene ID 83814-6190 |
| Practice Telephone | 2084574211 |
| Practice Fax Number | 2087731473 |
| Mailing Telephone | 2084574211 |
| Mailing Fax Number | 2087731473 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-840 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-840 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-840 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1053633297 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1233 N Northwood Center Ct, Coeur D Alene, ID 838146190 | 2084574211 | 2087731473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754795 | Ryan David Smith | Dentist | Bldg 4681 Logistics Ave, Fort Bragg, NC 28310-0001 | 2019-05-07 |
| 1225599533 | Ryan Philip Smith | Student in an Organized Health Care Education/Training Program | 501 E 91st St, Kansas City, MO 64131-2931 | 2019-03-28 |
| 1104317262 | Ryan Alexander Smith | Surgery | 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 | 2018-05-24 |
| 1265955942 | Ryan Michael Smith | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2017-07-25 |
| 1164950481 | Ryan Kenneth Smith | Family Medicine | 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 | 2017-05-31 |
| 1063948545 | Ryan C Smith | Marriage & Family Therapist | 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 | 2017-05-03 |
| 1346787942 | Ryan Smith | Behavioral Analyst | 3251 Nebraska St, Longview, WA 98632-4228 | 2017-01-21 |
| 1235587346 | Ryan Michael Smith | Physical Therapist | 98 Brickel St, Columbus, OH 43215-1506 | 2016-05-31 |
| 1528439734 | Ryan Smith | Physical Therapist | 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 | 2015-10-14 |
| 1669849618 | Ryan G Smith | Social Worker | 617 S 700 W, Hurricane, UT 84737-2429 | 2015-08-25 |
| Street Address |
1233 N NORTHWOOD CENTER CT STE 101 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-6190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945876 | Jeffrey Robert Rees Lyman | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2005-07-08 |
| 1801419544 | Shelby Lynn Fruechte | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2020-05-27 |
| 1972135010 | Luke Jack Haxton | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2020-02-06 |
| 1063896546 | Adam J Olscamp Md PC | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2015-07-15 |
| 1497172431 | Christopher Bryce Arena | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2014-03-27 |
| 1104100676 | Kira Beth Sandon | Physician Assistant | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2011-10-03 |
| 1871728493 | Richard Lee Stowell | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814 | 2009-05-27 |
| 1295821247 | John Patrick Sayler | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-10-05 |
| 1619080439 | Adam James Olscamp | Orthopaedic Surgery | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-08-16 |
| 1639104524 | Friedrich J. Weber Jr. | Physical Therapist | 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814-6190 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831524875 | Regan R Brown | Physician Assistant | 700 W Ironwood Dr Ste 275, Coeur D Alene, ID 83814-4400 | 2013-09-10 |
| 1770760118 | Erika Valtinson | Physician Assistant | 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814-4485 | 2008-01-29 |
| 1164581849 | Thomas J Byrne | Physician Assistant | 109. E Harrison Ave., Coeur D Alene, ID 83814-2785 | 2006-12-08 |
| 1497738827 | Magen S Schmidt | Physician Assistant | 2236 N Merrit Crk Loop Ste A, Coeur D Alene, ID 83814 | 2005-11-21 |
| 1215926258 | Laurie Gallegos | Physician Assistant | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2005-10-20 |
| 1649879081 | Grace Suyanti Muliawan | Physician Assistant | 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2668 | 2020-10-17 |
| 1700427796 | Colin Beacom | Physician Assistant | 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 | 2019-10-01 |
| 1447800552 | Keith Mccullough | Physician Assistant | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-19 |
| 1851869200 | Britni Turkenburg | Physician Assistant | 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814 | 2018-11-04 |
| 1548736960 | Melanie Jane Moss | Physician Assistant | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-10-23 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on MR. RYAN LEE SMITH.
| 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.