JOSEPH SMITH II (NPI# 1134580079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134580079 |
| Entity Type | Individual |
| Full Name | JOSEPH SMITH II |
| Credential | PA-C |
| Practice Address |
654 E 84th St Chicago IL 60619-5802 |
| Practice Telephone | 3129271276 |
| Mailing Telephone | 3129271276 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
123456 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966749 | Joseph Don Smith IIi | Counselor | 2713 Magnet St, N Las Vegas, NV 89030-5433 | 2017-07-27 |
| 1750816500 | Joseph Smith | Registered Nurse | 4995 Murphy Canyon Rd, St 204, San Diego, CA 92123 | 2017-04-28 |
| 1861935553 | Joseph Smith | Internal Medicine | 1844 Horseman Lane, Rancho Santa Fe, CA 92091-4605 | 2016-11-29 |
| 1275998098 | Joseph Smith | Specialist/Technologist | 107 Ramona Rd, Portola Valley, CA 94028-8135 | 2015-12-21 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1790199792 | Joseph Lemonte Smith Jr. | Social Worker | 925 Canterbury Rd Ne, Apt 866, Atlanta, GA 30324-6017 | 2014-06-17 |
| 1760744494 | Joseph Aaron Smith | Optometrist | 844 W Telegraph St, 3, Washington, UT 84780-1671 | 2012-06-08 |
| 1699069674 | Joseph Wayne Smith | Obstetrics & Gynecology | 2761 Point Dr, Monroe, LA 71201-2435 | 2011-06-07 |
| 1508167016 | Joseph L Smith | Counselor | 96 Elm Hill Ave, Dorchester, MA 02121-2514 | 2010-11-15 |
| 1174843346 | Joseph W Smith | Licensed Practical Nurse | 3454 Greenlawn Ave, Cincinnati, OH 45207-1548 | 2010-06-10 |
| Street Address |
654 E 84TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
| 1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
| 1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
| 1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
| 1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
| 1083962229 | Elizabeth Randolph | Physician Assistant | 251 E Huron St., Chicago, IL 60611 | 2012-08-20 |
| Find all providers in CHICAGO | ||||
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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.