KEITH SMART (NPI# 1164809067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164809067 |
Entity Type | Individual |
Full Name | KEITH SMART |
Credential | D.O. |
Practice Address |
601 John St Kalamazoo MI 49007-5341 |
Mailing Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
Practice Telephone | 2693418481 |
Mailing Telephone | 4146496000 |
Enumeration Date | 2015-04-29 |
Last Update Date | 2020-10-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5101024449 | MI | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
69130-21 | WI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2900 W Oklahoma Ave, Milwaukee, WI 53215 | 4146496000 |
Street Address |
601 JOHN ST |
City | KALAMAZOO |
State | MI |
Zip Code | 49007-5341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122757 | Joan K. Slager | Advanced Practice Midwife | 601 John St, Ste N-1200, Kalamazoo, MI 49007-5341 | 2005-05-27 |
1841898780 | Alexandra Marie Christmas | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-13 |
1003423237 | Ochuko Andrew Oghor | Student in an Organized Health Care Education/Training Program | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-01 |
1710591680 | Marshe Suderman | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-09-08 |
1609485481 | Kristy Lynn Mumby | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-07-28 |
1407475700 | Bethany Hodges | Dietitian, Registered | 601 John St, Kalamazoo, MI 49007-5341 | 2020-04-16 |
1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
1639728272 | James Michael Curtis | Pharmacist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-06 |
1538716451 | Sheri Jones | Physical Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-26 |
1790332658 | Jill Marie Woodhams | Occupational Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1194700104 | Anthony King | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2005-12-13 |
1649273855 | Umakant Shivlal Doctor | Internal Medicine | 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 | 2005-05-23 |
1255695987 | Ryan Jamoua | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-06-27 |
1366769747 | Jessica Delois Williams | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2010-04-26 |
1871714915 | Brett J Eliuk | Internal Medicine | 601 John St, Suite 100, Kalamazoo, MI 49007-5341 | 2007-05-02 |
1770709602 | Borgess Medical Center | Internal Medicine | 1717 Shaffer St, Suite 232, Kalamazoo, MI 49048-1647 | 2007-04-18 |
1306976204 | Ascension Borgess Hospital | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2007-03-07 |
1104952019 | Premier Cardiology PC | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2007-02-26 |
1932253200 | Paul Chacko | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2007-01-23 |
1629165378 | Sreenivas P Kamath | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2006-10-06 |
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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.