KEITH SMART


Address: 601 John St, Kalamazoo, MI 49007-5341
Phone: 2693418481

KEITH SMART (NPI# 1164809067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2900 W Oklahoma Ave, Milwaukee, WI 53215 4146496000

Office Location

Street Address 601 JOHN ST
City KALAMAZOO
State MI
Zip Code 49007-5341

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 49007

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49007

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Dataset Information

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.

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