ROGER DOUGLAS SMITH (NPI# 1154418937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154418937 |
| Entity Type | Individual |
| Full Name | ROGER DOUGLAS SMITH |
| Credential | MD |
| Practice Address |
1051 N Canton Center Rd Canton MI 48187-5097 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 3484452897 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301059897 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4643063 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720147 | Roger Smith Jr. | Behavior Technician | 4241 Soto St, Riverside, CA 92509-3446 | 2017-10-04 |
| 1124211081 | Roger Paul Smith | Chiropractor | 9755 N 90th St Ste A203, Scottsdale, AZ 85258-5079 | 2007-08-23 |
| 1487868196 | Roger Dale Smith | Homemaker | 509 Ward Ave, Caruthersville, MO 63830-1661 | 2007-05-10 |
| 1245324904 | Roger D Smith | Dentist | 933 Russell Rd Ste 103, Columbia, KY 42728-1054 | 2006-10-03 |
| 1801905054 | Roger Gordon Smith | Internal Medicine | 1030 Jefferson Ave Dept 11c, Memphis, TN 38104-2127 | 2006-08-30 |
| 1184730467 | Roger A Smith | Chiropractor | 286 Montevue Ln, Frederick, MD 21702-8212 | 2006-08-21 |
| 1922015403 | Roger M. Smith | Social Worker | 14317 Hickory Dr., Ponchatoula, LA 70454-6653 | 2006-08-01 |
| 1144257536 | Roger Raymond Smith | Specialist | 909 Hyde St., Suite #531, San Francisco, CA 94106-0001 | 2006-06-28 |
| 1003872631 | Roger Mcdonnell Smith | Psychiatry & Neurology | 4125 Landisville Rd, Doylestown, PA 18902 | 2006-04-22 |
| 1831163385 | Roger P Smith | Obstetrics & Gynecology | 2801 Brookline Ct, Zionsville, IN 46077-1194 | 2006-02-13 |
| Street Address |
1051 N CANTON CENTER RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007350 | Marcia Ann Lahaie | Registered Nurse | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2005-07-18 |
| 1164048401 | Shannon Johnson | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-23 |
| 1740806082 | Erinleigh Michaud | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-23 |
| 1386260610 | Keith Mcauley | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-23 |
| 1467078972 | Kara Jencks | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-20 |
| 1336765031 | Joseph Ladines-lim | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-19 |
| 1063036275 | Averey Strong | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-03 |
| 1518581719 | Anne Boldt | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-06-03 |
| 1255954368 | Sean Michael Gallagher | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-05-22 |
| 1992328330 | Martin Randall | Student in an Organized Health Care Education/Training Program | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2020-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250996 | Alyssa Liguori | Obstetrics & Gynecology | 470 Northside Cherokee Blvd Ste 290, Canton, GA 30115-8029 | 2016-04-16 |
| 1548600042 | Simrat Singh | Obstetrics & Gynecology | 46856 Eastbourne Rd, Canton, MI 48188-3021 | 2013-06-28 |
| 1104261528 | Atlanta Women's Surgery Specialists, P.C. | Obstetrics & Gynecology | 216 Riverstone Dr, Canton, GA 30114-5256 | 2013-04-30 |
| 1063704526 | Alice May Chi | Obstetrics & Gynecology | 1051 N Canton Center Drive, Canton, MI 48187-5097 | 2011-05-03 |
| 1922236652 | Kathryn Rose Kloss | Obstetrics & Gynecology | 1600 S Canton Center Rd Ste 350, Canton, MI 48188-6277 | 2009-07-01 |
| 1184882524 | Michelle A Glasgow | Obstetrics & Gynecology | 460 Northside Cherokee Blvd Ste 400, Canton, GA 30115-8023 | 2008-05-31 |
| 1881894004 | Luna Alkhafaji | Obstetrics & Gynecology | 7300 N Canton Center Rd Ste 210, Canton, MI 48187-1579 | 2007-07-25 |
| 1730300427 | Maria Moman Moman | Obstetrics & Gynecology | 1668 W Peace Street, Canton, MS 39046 | 2007-05-01 |
| 1437242658 | Tina D Groat | Obstetrics & Gynecology | 1561 Glengarry Blvd, Canton, MI 48188-3236 | 2006-10-02 |
| 1144332800 | Jyothi R. Nichanametla | Obstetrics & Gynecology | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-2040 | 2006-08-31 |
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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.