MEGAN SMITH (NPI# 1093263386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093263386 |
| Entity Type | Individual |
| Full Name | MEGAN SMITH |
| Credential | PA-C |
| Practice Address |
375 Park Ave Ste 5 Coos Bay OR 97420 |
| Mailing Address |
1793 13th St Se Salem OR 97302-2541 |
| Practice Telephone | 5412677543 |
| Practice Fax Number | 5033628435 |
| Mailing Telephone | 5033628385 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA190162 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500757502 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1793 13th St Se, Salem, OR 973022541 | 5033628385 | |
| 2730 Sw Moody Ave, Cl5pa, Portland, OR 972015042 | 5034943633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841813862 | Megan Nicole Smith | Nurse Practitioner | 3640 Ivanrest Ave Sw, Grandville, MI 49418-2026 | 2020-05-26 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1255800769 | Megan Smith | Counselor | 2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834 | 2018-11-14 |
| 1598230492 | Megan Smith | Nurse Practitioner | 520 Nissan Powertrain Dr, Decherd, TN 37324-4088 | 2018-10-06 |
| 1740762988 | Megan Nicole Smith | Physical Therapist | 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606 | 2018-09-04 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1407349988 | Megan Elizabeth Smith | Pharmacist | 460 W 10th Ave # L012, Columbus, OH 43210-1240 | 2018-06-11 |
| 1194224394 | Megan Marie Smith | Social Worker | 1859 W Chateau Ave, Taylorsville, UT 84129-1313 | 2018-02-02 |
| 1053863134 | Megan Margaret Smith | Occupational Therapist | 433 Sherman Rd, Springfield, PA 19064-1933 | 2016-10-25 |
| 1700337342 | Megan K Smith | Behavioral Analyst | 732 N Broadway St, Greensburg, IN 47240-1303 | 2016-10-19 |
| Street Address |
375 PARK AVE STE 5 |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528503885 | Joshua Bryan Wilson Sr. | Nurse Practitioner | 375 Park Ave Ste 5, Coos Bay, OR 97420-2242 | 2016-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| 1841564069 | Beverly Diane Wheeler | Pharmacist | 1020 S First Ave, Coos Bay, OR 97420 | 2012-03-06 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| 1255450144 | Karen Byers | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEGAN 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.