JAMES M. SMITH (NPI# 1174555163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174555163 |
| Entity Type | Individual |
| Full Name | JAMES M. SMITH |
| Credential | M.D. |
| Practice Address |
429 W Walnut St Lebanon KY 40033-1346 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 2706994602 |
| Practice Fax Number | 2706925255 |
| Mailing Telephone | (615) 920-7906 |
| Mailing Fax Number | 6159208938 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | DR.0054702 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | 50485 | 01 |
| KS | LICENSE | 04-31948 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 105556 | 01 |
| DEA | BS9803506 | 01 | |
| CO | 59805307 | 05 | |
| TX | TEXAS LICENSE | N5407 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282707 | James Smith | Technician | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2020-10-12 |
| 1659905206 | James Donald Smith | Counselor | 3225 Templeton Gap Rd Ste 102, Colorado Springs, CO 80907-8729 | 2020-02-22 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1558835181 | James Austin Smith Jr. | Meals | 7100 New Kensington Ct, Warrenton, VA 20187-8901 | 2019-01-16 |
| 1669944260 | James Antonio Smith | Counselor | 669 Castlebottom Dr, Lawrenceville, GA 30045-2796 | 2018-12-19 |
| 1932678406 | James Edward Smith | Physical Therapist | 723 Pa-113 #6, Souderton, PA 18964 | 2018-11-14 |
| 1295216398 | James Smith | Non-emergency Medical Transport (VAN) | 8057 Perfect Vw, Ooltewah, TN 37363-4961 | 2018-08-27 |
| 1801345640 | James Franklin Smith Jr. | Peer Specialist | 1919 N Market Ave, Unit B, Shawnee, OK 74804-3644 | 2016-09-21 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1952776122 | James Smith | Physical Therapy Assistant | 715 Hillmont Cir, Harrisonburg, VA 22801-2293 | 2015-12-14 |
| Street Address |
429 W WALNUT ST |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215991443 | Kevin D Slentz | Surgery | 429 W Walnut St, Lebanon, KY 40033-1346 | 2006-04-14 |
| 1174761696 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 429 W Walnut St, Lebanon, KY 40033-1346 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720216898 | Kyle Ward | Surgery | 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227 | 2009-06-29 |
| 1699943951 | Blue Ridge Medical Mangement Corporation | Surgery | 81 Carroll Street, Lebanon, VA 24266 | 2008-02-20 |
| 1386866853 | Raman Kumar | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2007-05-03 |
| 1194733832 | Lebanon Surgical Associates | Surgery | Carroll & Tate Sts., Suite 4, Lebanon, VA 24266 | 2006-08-04 |
| 1922028711 | Terry Wayne Shortridge | Surgery | 55 Twin Oaks, Suite C-1, Lebanon, OR 97355-2864 | 2006-07-21 |
| 1164451621 | Jimmy R Maneksha | Surgery | 125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 | 2006-06-30 |
| 1255383766 | Larimore C Warren | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2006-05-16 |
| 1174571863 | Barbara A. Klatchko, M.d., Ltd. | Surgery | 402 S 12th St, Lebanon, PA 17042-6617 | 2006-05-04 |
| 1215991443 | Kevin D Slentz | Surgery | 429 W Walnut St, Lebanon, KY 40033-1346 | 2006-04-14 |
| 1386612943 | Donald Duane Coker | Surgery | 229 South Fourth Street, Lebanon, PA 17042-1281 | 2006-03-09 |
| Find all providers in LEBANON | ||||
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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.