DR. KRISTY MARIE SMITH (NPI# 1174752547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174752547 |
| Entity Type | Individual |
| Full Name | DR. KRISTY MARIE SMITH |
| Credential | M.D. |
| Practice Address |
28800 Ryan Rd Suite 120 Warren MI 48092-4272 |
| Practice Telephone | 5865582860 |
| Practice Fax Number | 5865584624 |
| Mailing Telephone | 5865582860 |
| Mailing Fax Number | 5865584624 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4301095192 | MI | Allopathic & Osteopathic Physicians |
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
4301095192 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140155 | Kristy L Smith | Community Health Worker | 2535 Shadow View Cir, Maitland, FL 32751-7517 | 2011-05-29 |
| 1033314067 | Kristy Dawn Smith | Physical Therapy Assistant | 1205 Mcgregor Rd, Nortonville, KY 42442-9770 | 2007-06-19 |
| 1497878870 | Kristy Michelle Smith | Speech-Language Pathologist | 110 Delarose Ct Sw, Atlanta, GA 30349-1268 | 2007-04-09 |
| 1598375552 | Kristy Smith | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2020-08-05 |
| 1427600790 | Kristy Marie Smith | Nurse Practitioner | 3503 Cumberland Ave, Middlesboro, KY 40965-2611 | 2019-07-16 |
| 1104391952 | Kristy Smith | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2018-10-09 |
| 1144721846 | Kristy Smith | Psychologist | 1810 Back Creek Dr., Charlotte, NC 28213-2159 | 2018-02-27 |
| 1548624687 | Kristy Smith | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-04-05 |
| 1700256179 | Kristy Smith | Specialist/Technologist | 265 N Michigan Ave, Coldwater, MI 49036-1528 | 2015-09-29 |
| 1093182636 | Kristy Smith | Pharmacist | 307 Beaman St, Clinton, NC 28328-2907 | 2015-08-31 |
| Street Address |
28800 RYAN RD SUITE 120 |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967815 | Gary G Gilyard | Orthopaedic Surgery | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2006-01-17 |
| 1982055943 | Melissa Wummel | Social Worker | 28800 Ryan Rd, Ste 320, Warren, MI 48092-4272 | 2016-06-30 |
| 1477920510 | Yasmin Keshavjee | Family Medicine | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2015-08-24 |
| 1033502224 | Neurocognitive Center of Michigan Group | Psychologist | 28800 Ryan Rd, Suite 300, Warren, MI 48092-4272 | 2015-03-11 |
| 1801207907 | Kathryn Aurand | Physician Assistant | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2014-05-12 |
| 1952721862 | Samantha Reichling | Specialist | 28800 Ryan Rd, Warren, MI 48092-4272 | 2014-04-17 |
| 1700204328 | Neurocognitive Center of Michigan Inc. | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2014-04-01 |
| 1487081782 | Sara Louise Blomeling-deroo | Social Worker | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2013-10-01 |
| 1275872376 | Dima Sprague | Physician Assistant | 28800 Ryan Rd, Warren, MI 48092-4272 | 2013-02-08 |
| 1568712370 | Behavioral Infermiera Care Solutions Inc | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2012-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427368 | Samantha Kate Viola | Emergency Medicine | 12901 15 Mile Rd, Sterling Heights, MI 48312-4202 | 2017-10-01 |
| 1578089645 | Tyler Koerth | Emergency Medicine | 10425 Panther Pride, Delton, MI 49046-8825 | 2017-08-20 |
| 1164968210 | Laylah Ali | Emergency Medicine | 1 Campus Dr, Allendale, MI 49401-9403 | 2017-01-12 |
| 1558813964 | Steven Berning | Emergency Medicine | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2016-11-02 |
| 1770832131 | Meghan M Hescheles | Emergency Medicine | 224 Park Ave, Frankfort, MI 49635-9658 | 2012-08-31 |
| 1255517272 | Dmc Orthopaedic Billing Associates, LLC | Emergency Medicine | 9398 N Lilley Rd, Plymouth, MI 48170-4610 | 2008-01-22 |
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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.