JESSICA B. SMITH-KELLY (NPI# 1124381488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124381488 |
| Entity Type | Individual |
| Full Name | JESSICA B. SMITH-KELLY |
| Credential | D.O. |
| Practice Address |
1464 Jefferson St N Lewisburg WV 24901-1380 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 8444794545 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 8444794545 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 2998 | WV | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 2998 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1124381488 | 05 |
| Street Address |
1464 JEFFERSON ST N |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659561 | Belinda K Smith | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2005-06-16 |
| 1730703893 | Joshua Paul Ennis | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1063036127 | Vernon Leung | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1407494883 | Meghan R Pankey | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2019-12-16 |
| 1013496991 | West Virginia School of Osteopathic Medicine Clinic Inc | Psychologist | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-08-10 |
| 1417447855 | Robert Joseph Tavares | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-05-11 |
| 1750818316 | Chelsea Feger | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-05-15 |
| 1184158107 | Christopher Paul Kennedy | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-04-17 |
| 1730626029 | Jenifer Richmond | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-01-24 |
| 1902351547 | Morgan Bergeson | Dietitian, Registered | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2016-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316363831 | Robert Kent Modlin | Internal Medicine | 300 Alderson St, Lewisburg, WV 24901-1708 | 2014-03-07 |
| 1982825428 | Heather L, Ratliff | Internal Medicine | 289 Dawkins Dr, Lewisburg, WV 24901-9674 | 2007-05-01 |
| 1134240047 | Roseline R Reed | Internal Medicine | Bucknell University, Snake Road, Shs, Lewisburg, PA 17837-6509 | 2007-04-02 |
| 1639216021 | Greenbrier Vmc LLC | Internal Medicine | 323 N Jefferson St, Lewisburg, WV 24901-1116 | 2007-02-01 |
| 1548332505 | Benny Martin Mcknight | Internal Medicine | 1095 N Ellington Pkwy, Lewisburg, TN 37091-2228 | 2006-11-14 |
| 1629182449 | Alexander J Brunner | Internal Medicine | 122 E Commerce St, Lewisburg, TN 37091-3340 | 2006-08-18 |
| 1356360085 | David Mark Zelechoski | Internal Medicine | 7055 Westbranch Hwy, Lewisburg, PA 17837-6808 | 2006-07-19 |
| 1861474371 | John Michael Weston | Internal Medicine | 131 Jpm Rd, Lewisburg, PA 17837-9309 | 2005-11-18 |
| 1801890207 | Dorris A Ragsdale | Internal Medicine | 3738 Davis Stuart Rd, Lewisburg, WV 24901-9463 | 2005-06-13 |
| 1912527250 | Marshall Medial Center | Internal Medicine | 1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 | 2020-04-16 |
| Find all providers in LEWISBURG | ||||
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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.