DR. GLENN A SMITH (NPI# 1295842409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295842409 |
| Entity Type | Individual |
| Full Name | DR. GLENN A SMITH |
| Other Name | GLENN ARTHUR SMITH |
| Credential | MD |
| Practice Address |
2219 Garfield St Two Rivers WI 54241 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9207932281 |
| Practice Fax Number | 9207933669 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 31392 | WI | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 31392 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31673600 | 05 | |
| DEA NUMBER | BS2379166 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871702183 | Glenn Alan Smith | Recreation Therapist | 88 Circle Dr, Millington, NJ 07946-1708 | 2007-05-22 |
| 1881733426 | Glenn Owen Smith | Dentist | 21320 Hawthorne Blvd Ste 202, Torrance, CA 90503-5668 | 2007-02-06 |
| 1588624928 | Glenn F Smith | Chiropractor | 418 W. Meadows Dr, Freeport, IL 61032 | 2006-03-27 |
| 1861976599 | Glenn Smith | Counselor | 1 Leo Moss Dr Ste 4308, Olean, NY 14760-1100 | 2018-09-19 |
| 1447564869 | Glenn Douglas Smith | Counselor | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2010-07-27 |
| 1508060062 | Glenn Bona Smith | Physical Therapist | 170 N 1100 E, American Fork, UT 84003-2096 | 2007-06-11 |
| 1649391467 | Glenn Smith | Dentist | 108 N Main St, Montpelier, IN 47359-1132 | 2007-04-02 |
| 1124160288 | Glenn Edward Smith | Registered Nurse | 1431 Sw 1st Avenue, Ocala, FL 34471 | 2007-02-13 |
| 1023156684 | Glenn C Smith Jr. | Pharmacist | 9080 Brooks Rd S, Windsor, CA 95492-7811 | 2007-02-02 |
| 1992717995 | Glenn Paul Smith | Psychologist | 13000 Bruce B Downs Blvd, 116a, Tampa, FL 33612-4745 | 2006-08-12 |
| Street Address |
2219 GARFIELD ST |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675569 | Jeffrey S. Nesta | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2005-11-09 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| 1174980072 | Terra L Hartman | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2016-01-22 |
| 1316330087 | Carey L Willman | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2015-03-05 |
| 1063831022 | Janna A Kroiss | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241 | 2014-04-07 |
| 1336436559 | Aurora Pharmacy Inc | Pharmacy | 2219 Garfield St, Suite 100, Two Rivers, WI 54241-2416 | 2011-07-08 |
| 1912214933 | Benjamin J Wass | Physician Assistant | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2010-09-13 |
| 1487882320 | Elmer L Linboom | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2009-06-30 |
| 1215163720 | Bryan J Mulheron | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2009-06-10 |
| 1982871489 | Comprehensive Cardiovascular Care, LLP | Internal Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1568907772 | Carolyn Jansen | Physical Therapist | 5300 Memorial Dr, Aurora Rehabilitation Center, Two Rivers, WI 54241 | 2016-12-23 |
| Find all providers in zip 54241 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610389 | Big Stone Medical LLC | Physical Medicine & Rehabilitation | 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 | 2020-02-11 |
| 1235782152 | Industrial Therapy Solutions LLC | Physical Medicine & Rehabilitation | 4915 W Grande Market Dr, Appleton, WI 54913-8525 | 2019-07-19 |
| 1508347287 | Tyler James Syltie | Physical Medicine & Rehabilitation | 4855 W Electric Ave, West Milwaukee, WI 53219-1628 | 2018-08-22 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1730601493 | Baycare Clinic LLP | Physical Medicine & Rehabilitation | 10624 N Port Washington Rd, Mequon, WI 53092-5049 | 2017-07-13 |
| 1235659343 | Anders Hendricks | Physical Medicine & Rehabilitation | 5708 75th St Ste B, Kenosha, WI 53142-3635 | 2017-06-21 |
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| Find all providers with the same taxonomy | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
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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.