DR. RICK JOEL SMITH (NPI# 1104934603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104934603 |
| Entity Type | Individual |
| Full Name | DR. RICK JOEL SMITH |
| Credential | MD |
| Practice Address |
1504 E Grand River Ave Suite100 East Lansing MI 48823-4921 |
| Practice Telephone | 5179083040 |
| Practice Fax Number | 5179080856 |
| Mailing Telephone | 5179083040 |
| Mailing Fax Number | 5179080856 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
4301051137 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3160115 | 05 | |
| MI | PHP OF MID MICHIGAN | 13 00007 | 01 |
| MI | PHP FAMILY CARE | 13 70017 | 01 |
| MI | BCBS OF MICHIGAN | 2403303571 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307626 | Rick C Smith | Counselor | 1250 W Dorothy Ln Apt T24, Kettering, OH 45409-1315 | 2018-12-11 |
| 1992788079 | Rick D. Smith | Chiropractor | 2901 S Georgia St, Amarillo, TX 79109-3436 | 2005-11-22 |
| 1235484999 | Rick E Smith | Counselor | 4200 Little Blue Pkwy, Suite 360, Independence, MO 64057-8312 | 2012-07-18 |
| 1275782542 | Rick Smith | Physical Therapy Assistant | 36 Lehman Dr, Canal Winchester, OH 43110-1006 | 2008-09-11 |
| 1275658635 | Rick G Smith | Licensed Practical Nurse | 227 E Main St, Festus, MO 63028-1952 | 2007-03-21 |
| 1922123009 | Rick K Smith | Dentist | 8030 Soquel Ave, Suite 101, Santa Cruz, CA 95062-2096 | 2007-03-20 |
| 1396896288 | Rick Martin Smith | Dentist | 1259 N Power Rd, Suite 2, Mesa, AZ 85205-4909 | 2007-01-16 |
| 1659467884 | Rick J Smith | Respiratory Therapist, Registered | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-10-05 |
| 1346334208 | Rick M Smith | Chiropractor | 1550 6th St Se, Winter Haven, FL 33880-4507 | 2006-10-03 |
| 1932130861 | Rick Smith | Internal Medicine | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2006-07-06 |
| Street Address |
1504 E GRAND RIVER AVE SUITE100 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932435625 | Rick J Smith Md PC | Surgery | 1504 E Grand River Ave, Ste 100, East Lansing, MI 48823-4921 | 2009-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489348 | Ellen Beth Ozolins | Plastic Surgery | 44050 W 12 Mile Rd, Novi, MI 48377-2612 | 2005-06-28 |
| 1003465493 | Amy Wiese | Plastic Surgery | 50 W Big Beaver Rd Ste 280, Bloomfield Hills, MI 48304-3912 | 2019-09-09 |
| 1902123904 | Ninul Inc | Plastic Surgery | 637 E Big Beaver Rd, Troy, MI 48083-1423 | 2010-04-29 |
| 1487894754 | George S Miguel | Plastic Surgery | 85 E Big Beaver Rd, Troy, MI 48083-1262 | 2009-02-26 |
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on DR. RICK JOEL 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.