MR. SHAWN G SMITH (NPI# 1285732156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285732156 |
| Entity Type | Individual |
| Full Name | MR. SHAWN G SMITH |
| Credential | PA-S |
| Practice Address |
5325 Elliott Dr Ypsilanti MI 48197-8633 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 - Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347128000 |
| Practice Fax Number | 7347124319 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004899 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593783 | Shawn Smith | Behavior Technician | 1905 Echols Ave, Clovis, NM 88101-4530 | 2019-08-12 |
| 1467879197 | Shawn Angelique Smith | Social Worker | 56 Beach St, Staten Island, NY 10304-2702 | 2014-03-19 |
| 1093137218 | Shawn Smith | Driver | 2971 E Larned St, Detroit, MI 48207-3905 | 2014-01-07 |
| 1932479284 | Shawn Smith | Specialist/Technologist, Other | 3202 W Calle Cereza, Tucson, AZ 85741-2927 | 2012-01-04 |
| 1144531542 | Shawn Smith | Registered Nurse | 434 Rockaway Pkwy, Brooklyn, NY 11212-3248 | 2010-06-30 |
| 1023335627 | Shawn Christopher Smith | Physician Assistant | 1432 S. Dobson Road, Suite 501, Mesa, AZ 85202 | 2010-04-23 |
| 1568795680 | Shawn S Smith | Counselor | 111 S George St Ste 3, Cumberland, MD 21502-3039 | 2009-09-08 |
| 1073639167 | Shawn M Smith | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2007-03-21 |
| 1902967698 | Shawn M Smith | Physical Therapist | 1700 S Broadway St, Ste B, Moore, OK 73160-5300 | 2006-12-13 |
| 1063466449 | Shawn Robert Smith | Chiropractor | 2709 Athania Pkwy, Metairie, LA 70002-5903 | 2006-05-20 |
| Street Address |
5325 ELLIOTT DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237387 | Susan R. Illikman | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2005-07-05 |
| 1710533799 | Catherine I Giles | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2019-08-14 |
| 1083102214 | Christine Glowacki | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2018-04-24 |
| 1619488384 | Elizabeth H Stalder | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197 | 2017-10-20 |
| 1609312420 | Terri Lynn Trombley | Registered Nurse | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2017-01-18 |
| 1235685041 | Diana Rego | Nurse Practitioner | 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 | 2016-08-31 |
| 1184170524 | Cristina Hauncher | Dietitian, Registered | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-26 |
| 1629524194 | Zachary Ryan York | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-25 |
| 1225583362 | Kathleen Ritzert | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-18 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1558821785 | Alexa Renee Tremmel | Physician Assistant | 5301 Mcauley Dr Ste 2199, Ypsilanti, MI 48197-1051 | 2019-03-22 |
| 1326510686 | Ovidiu George Curtean | Physician Assistant | 5333 Mcauley Dr Rm 5112, Ypsilanti, MI 48197-1003 | 2018-12-27 |
| 1720592637 | Martin Ace Layne | Physician Assistant | 802 Lowell St Apt 2, Ypsilanti, MI 48197-2808 | 2017-11-30 |
| 1013363712 | Laura Beth Winningham | Physician Assistant | 5301 Mcauley Dr # C-139, Ypsilanti, MI 48197-1051 | 2016-05-11 |
| 1972906444 | Devon Murphy | Physician Assistant | 5303 Elliott Drive, Suite 210, Ypsilanti, MI 48197 | 2014-09-29 |
| 1821351065 | Kristine N Hammond | Physician Assistant | 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197-1096 | 2012-06-22 |
| 1245477819 | Jane R Burch | Physician Assistant | 3511 Bemis Rd, Ypsilanti, MI 48197-9307 | 2009-01-19 |
| 1235388158 | Rosemary Mackraz Thornton | Physician Assistant | 5333 Mcauley Dr Rm 3009, Ypsilanti, MI 48197-1097 | 2008-09-16 |
| 1730343062 | Courtney M Estala | Physician Assistant | 5315 Elliott Dr., Suite 301, Ypsilanti, MI 48197 | 2008-07-16 |
| 1558349910 | Carolyn M. Nickel | Physician Assistant | 5301 E Huron River Drive, Ypsilanti, MI 48197 | 2006-01-05 |
| Find all providers in YPSILANTI | ||||
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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.