MS. SHARON LYNN SMITH (NPI# 1154460632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154460632 |
| Entity Type | Individual |
| Full Name | MS. SHARON LYNN SMITH |
| Credential | PA |
| Practice Address |
1250 Forest Ave Portland ME 04103-1884 |
| Mailing Address |
111 Longview Dr Portland ME 04103-2282 |
| Practice Telephone | 2078783177 |
| Mailing Telephone | 2072326046 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA860 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | OSTEOPATHIC LISENCE | PA161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874886 | Sharon M Smith | Pharmacist | 12639 Elm St, Thornton, CO 80241-3027 | 2020-09-03 |
| 1851931661 | Sharon Smith | Licensed Vocational Nurse | 1207 N 62nd St, Waco, TX 76710-4103 | 2020-01-09 |
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1568012581 | Sharon M Smith | Counselor | 230 N Eisenhower Dr, Beckley, WV 25801-4139 | 2019-09-12 |
| 1396390779 | Sharon Nell Smith | Marriage & Family Therapist | 445 Bellevue Ave Ste 201, Oakland, CA 94610-4923 | 2019-08-02 |
| 1871058982 | Sharon Dianne Smith | Registered Nurse | 129 Holton Rd, Midway, FL 32343-6511 | 2019-02-02 |
| 1336621507 | Sharon Rosemary Smith | Nurse Practitioner | 2713 Santa Anita Dr, Stow, OH 44224-6211 | 2018-09-04 |
| 1295198133 | Sharon Mae Smith | Counselor | 126 Sykesville Rd, Chesterfield, NJ 08515-2405 | 2016-03-29 |
| 1891153961 | Sharon Denise Smith | Counselor | 8439 Regal Hills Ct, Las Vegas, NV 89117-9173 | 2016-02-04 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| Street Address |
1250 FOREST AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254057 | Robert R. Denton | Physical Therapist | 1250 Forest Ave, Portland, ME 04103-1884 | 2005-06-10 |
| 1740724228 | Lindsey Jean Koocher | Nurse Practitioner | 1250 Forest Ave, Portland, ME 04103-1889 | 2016-12-19 |
| 1568828846 | Athena Beaulieu | Physical Therapist | 1250 Forest Ave, Portland, ME 04103-1889 | 2016-01-03 |
| 1962803940 | Robert Taylor Dpm PC | Podiatrist | 1250 Forest Ave, Suite 303, Portland, ME 04103-1889 | 2014-09-10 |
| 1215360110 | Kevin Michael Lukis | Dentist | 1250 Forest Ave, Ste 3b, Portland, ME 04103-1889 | 2013-08-14 |
| 1588000954 | Rebecca Harvey | Otolaryngology | 1250 Forest Ave, Portland, ME 04103 | 2013-05-13 |
| 1710238126 | John A Dudley | Physician Assistant | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2012-09-25 |
| 1700134525 | Matthew M. Papsadora | Physical Therapist | 1250 Forest Ave, Portland, ME 04103-1889 | 2012-08-28 |
| 1295081172 | Lindsay Ann Ekey | Audiologist | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2012-07-30 |
| 1821396094 | Stacia L. Thomas | Audiologist | 1250 Forest Ave, Ste 301, Portland, ME 04103-1889 | 2011-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
| Find all providers in PORTLAND | ||||
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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.