KELLY M SMITH (NPI# 1194818658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194818658 |
| Entity Type | Individual |
| Full Name | KELLY M SMITH |
| Credential | P.A. |
| Practice Address |
213 Main Street Salem Family Health Center Salem NY 12865 |
| Mailing Address |
Po Box 304 Glens Falls NY 12801-0304 |
| Practice Telephone | 5188543821 |
| Practice Fax Number | 5188543224 |
| Mailing Telephone | 5188543821 |
| Mailing Fax Number | 5188543224 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003117 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01599751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| Street Address |
213 MAIN STREET SALEM FAMILY HEALTH CENTER |
| City | SALEM |
| State | NY |
| Zip Code | 12865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275881922 | Glens Falls Hospital Inc | Family Medicine | 213 Main Street, Salem Family Health Center, Salem, NY 12865-3121 | 2012-08-28 |
| 1053522268 | Carrie L Mcneil | Family Medicine | 213 Main Street, Salem Family Health Center, Salem, NY 12865 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467478917 | Salem Rescue Squad Inc | Ambulance | 152 East Broadway, Salem, NY 12865 | 2006-07-15 |
| 1902101264 | Barbara J Pratt | Physical Therapist | 213 Main St, Salem, NY 12865 | 2011-01-18 |
| 1275544819 | Glenns Pharmacy Inc | Pharmacy | 205 Main St, Salem, NY 12865 | 2006-08-10 |
| 1710052055 | Bryer Chiropractic Tr | Chiropractor | Co 197 North Main Street, Salem, NY 12865-0007 | 2006-11-21 |
| 1285921411 | Kathleen Christensen | Registered Nurse | 29 Park Place, Salem, NY 12865-0093 | 2011-07-08 |
| 1972670362 | Glenn Stokem | Pharmacist | 205 Main St, Salem, NY 12865-0624 | 2006-11-29 |
| 1275609216 | Beth Steves | Pharmacist | 205 Main St, Salem, NY 12865-0624 | 2006-11-28 |
| 1164639993 | Eileen Kathryn Dashnaw | Occupational Therapist | 42 Priest Rd, Salem, NY 12865-1914 | 2007-05-17 |
| 1871641464 | Salem Central School | Local Education Agency (LEA) | 41 E Broadway, Salem, NY 12865-3100 | 2007-01-08 |
| 1972878056 | Stacy Lin Durrin Riche | Occupational Therapist | 41 E Broadway, Salem, NY 12865-3100 | 2012-03-21 |
| Find all providers in zip 12865 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1306444641 | Zachary Wright | Physician Assistant | 11 Harley Ln, Salem, NH 03079-2888 | 2020-10-09 |
| 1174132195 | Andrew Yosim | Physician Assistant | 1750 Pexton Ave, Salem, VA 24153-4108 | 2020-07-27 |
| 1689202269 | Adam Joyce | Physician Assistant | 1005 Meadowrun Ct, Salem, VA 24153-6687 | 2020-03-30 |
| 1417504085 | Alexis Marie Biewend | Physician Assistant | 1645 Waln Dr Se Apt 263, Salem, OR 97306-2963 | 2019-08-19 |
| 1497309322 | Lindsey Ann Castleberry | Physician Assistant | 1111 Meadow Sage Cir, Salem, UT 84653-5578 | 2019-07-29 |
| 1134773450 | Jillian Netland | Physician Assistant | 6507 Lipscomb St Se, Salem, OR 97317-9513 | 2019-07-25 |
| 1457827354 | Gretchen Amrien | Physician Assistant | 4 Bypass Rd Ste 201, Salem, NJ 08079-2053 | 2018-10-17 |
| 1649751934 | Matthew Hansen | Physician Assistant | 875 Oak St. Se Ste 5020, Salem, OR 97301 | 2018-08-24 |
| 1487152948 | Jessica Lynn Brooks | Physician Assistant | 875 Oak St Se Ste 5060, Salem, OR 97301 | 2018-01-30 |
| Find all providers in SALEM | ||||
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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.