TIMOTHY JOSEPH SMITH (NPI# 1336567825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336567825 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOSEPH SMITH |
| Credential | M.D. |
| Practice Address |
1 Jack Foster Dr Shenandoah IA 51601-4586 |
| Practice Telephone | 7122467400 |
| Mailing Telephone | 7122467400 |
| Mailing Fax Number | 7122467340 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD-44950 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD2016-0912 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170698 | Timothy David Smith | Student in an Organized Health Care Education/Training Program | 433 S 7th St Apt 1822, Minneapolis, MN 55415-1641 | 2019-12-04 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| 1114389442 | Timothy James Smith | Physical Therapist | 1741 Trent St, Crofton, MD 21114-2301 | 2016-03-25 |
| 1235492190 | Timothy W Smith | Dentist | 655 Al Highway 69 S, Hanceville, AL 35077-3405 | 2012-06-15 |
| 1871897090 | Timothy Floyd Smith | Mechanotherapist | 7621 Ne Waldo Rd, Gainesville, FL 32609-1267 | 2011-01-03 |
| 1760702088 | Timothy Alan Smith | Chiropractor | 6839 Five Star Blvd Ste F, Rocklin, CA 95677-2685 | 2010-06-09 |
| 1699933424 | Timothy Alan Smith | Denturist | 38565 Proctor Blvd, Sandy, OR 97055-0744 | 2008-05-29 |
| 1477676336 | Timothy J Smith | Family Medicine | 5281 Thomas Rd, Sebastopol, CA 95472-9374 | 2007-04-07 |
| 1811038243 | Timothy Blair Smith | Dentist | 310 Se 2nd, Suite 203, Pendleton, OR 97801 | 2007-02-09 |
| 1467592501 | Timothy B. Smith | Hearing Instrument Specialist | 217 Page Bacon Rd, #1, Mary Esther, FL 32569-1685 | 2007-02-07 |
| Street Address |
1 JACK FOSTER DR |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1376037770 | Stephanie Robinette | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2018-06-19 |
| 1184033300 | Shenandoah Medical Center | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-08-13 |
| 1427300201 | Shenandoah Medical Center | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2012-10-04 |
| 1770718660 | Michael Theodore Salwitz | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2009-05-20 |
| 1003027939 | Todd Mikael Isaacson | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2007-05-24 |
| 1518055847 | Donald L Bumgarner | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-10-11 |
| 1174537567 | Satya S Thippareddi | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-28 |
| 1700818408 | Floyd A Jones | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-06 |
| 1710917026 | Heather Lee Babe | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639527732 | Sehar Khateeb | Internal Medicine | 9250 Pinecroft Dr Ste N2.101, Shenandoah, TX 77380-3218 | 2016-05-31 |
| 1053687970 | Holly Bentz Smith | Internal Medicine | 17183 I H 45 S Ste 530, Shenandoah, TX 77385 | 2012-03-25 |
| 1629367602 | Patrick Toluwatele Ogidan | Internal Medicine | 9201 Pinecroft Dr Fl 2, Shenandoah, TX 77380-3889 | 2011-03-30 |
| 1992930929 | Madhavi Machineni | Internal Medicine | 150 Pine Forest Dr Ste 602, Shenandoah, TX 77384 | 2009-05-20 |
| 1518135821 | Rajesh Venkataraman | Internal Medicine | 17183 I H 45 S Ste 650, Shenandoah, TX 77385-3316 | 2008-02-20 |
| 1063621175 | Shivani M Toma | Internal Medicine | 17183 I 45 S Ste 570, Shenandoah, TX 77385-3312 | 2007-05-22 |
| 1063561041 | Main Street Medical Center Inc | Internal Medicine | 24 South Main Street, Shenandoah, PA 17976 | 2007-01-09 |
| 1245269547 | Eric Evan Petterson | Internal Medicine | 4 W Washington St, Shenandoah, PA 17976-1707 | 2006-07-01 |
| 1528043676 | Frederick I Njuki | Internal Medicine | 286 Ed English Dr Ste B, Shenandoah, TX 77385-8034 | 2005-12-13 |
| 1043201015 | Paula D. Ryan | Internal Medicine | 9200 Pinecroft Dr Ste 450, Shenandoah, TX 77380-3280 | 2005-10-31 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.