MR. STEPHEN RUSSELL SMITH (NPI# 1366612343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366612343 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN RUSSELL SMITH |
| Credential | PA-C |
| Practice Address |
2615 E High Street Springfield Emergency Physicians Inc. Springfield OH 45501 |
| Mailing Address |
2615 E High Springfield Emergency Physicians Inc. Springfield OH 45501 |
| Practice Telephone | 9373289301 |
| Mailing Telephone | 9373289301 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50 . 002725 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1346807583 | Stephen Lee Smith | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7776, San Antonio, TX 78229-3901 | 2019-05-23 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1275025041 | Stephen C Smith | Student in an Organized Health Care Education/Training Program | 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 | 2018-06-06 |
| 1437653706 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2018-03-21 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1386019867 | Stephen William Smith | Psychologist | 2312 Plantation Dr, Virginia Beach, VA 23454-2739 | 2015-12-09 |
| 1548666068 | Stephen Smith | Massage Therapist | 626 E 4th St, Tonganoxie, KS 66086-9219 | 2014-11-11 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1942600044 | Stephen Smith | Student in an Organized Health Care Education/Training Program | 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 | 2014-08-26 |
| Street Address |
2615 E HIGH STREET SPRINGFIELD EMERGENCY PHYSICIANS INC. |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318617 | Siddharth Paresh Mehta | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane. Western Reserve Health Education, Inc., Youngstown, OH 45501 | 2018-05-31 |
| 1962806539 | Kristi Kirby Knight-craddock | Speech-Language Pathologist | 25 West High Street, Springfield, OH 45501 | 2014-10-10 |
| 1447347265 | Matt Talbot House, Inc. | Clinic/Center | 809 South Limestone Street, Springfield, OH 45501 | 2006-10-05 |
| 1346350469 | Kevin Patrick Cochran | Dentist | 253 Hampton Pl, Springfield, OH 45501 | 2006-08-30 |
| 1245347392 | Young R Park | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-24 |
| 1104839463 | Ronald D Patterson | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1437162880 | Joseph Patrick Mader | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1235142688 | Dan Thomas Hladky | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1952314304 | Mary Susan Andorfer | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
| 1851992622 | Destinee Lathon | Nurse's Aide | 1731 Fairmont Dr, Springfield, IL 62702-2927 | 2020-11-06 |
| 1396346508 | Bec Personal Care, LLC | In Home Supportive Care | 3513 Sundance Dr, Springfield, IL 62711-6719 | 2020-11-04 |
| 1932700366 | Shawn Carpenter Jr. | Homemaker | 1567 Regent Ave, Springfield, OH 45503-5967 | 2020-11-03 |
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1073113023 | Crystal Lynn Sandridge | Technician | 9710 Cumberland Rd, Springfield, WV 26763 | 2020-10-29 |
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| Find all providers in SPRINGFIELD | ||||
| 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 |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45501 |
Please comment or provide details below to improve the information on MR. STEPHEN RUSSELL SMITH.
| 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.