NATHAN G SMITH (NPI# 1386937878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386937878 |
| Entity Type | Individual |
| Full Name | NATHAN G SMITH |
| Credential | PA-C |
| Practice Address |
220 Grand Regency Blvd Brandon FL 33510 |
| Mailing Address |
5955 Zeamer Ave Jber AK 99506-3702 |
| Practice Telephone | 8138279750 |
| Mailing Telephone | 9075808121 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Grand Regency Blvd, Brandon, FL 335103935 | 8138279750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407764 | Nathan Lorenzo Smith | Social Worker | 100 State St Apt 148, North Haven, CT 06473-2227 | 2020-04-30 |
| 1285184010 | Nathan Dale Smith | Occupational Therapist | 105 Citation Dr Ste B, Danville, KY 40422-8633 | 2016-10-05 |
| 1396056727 | Nathan M Smith | Nurse Practitioner | 3939 Ne Hancock St Ste Sf1, Portland, OR 97212-5321 | 2010-06-30 |
| 1023329778 | Nathan Merrill Smith | Dentist | 140b Purcellville Gateway Dr # 543, Purcellville, VA 20132-3485 | 2010-06-28 |
| 1639491566 | Nathan Dwayne Smith | Pharmacist | 312 Schillinger Rd S Ste Z, Mobile, AL 36608-5032 | 2010-02-19 |
| 1669655270 | Nathan Richard Smith | Pharmacist | 35 Forgham St, Lyons, NY 14489-1327 | 2007-12-06 |
| 1144411075 | Nathan Smith | Counselor | 6641 N Seneca St, Portland, OR 97203-2533 | 2007-08-06 |
| 1043350341 | Nathan John Smith | Audiologist | 320 Cedar St, Wray, CO 80758-1819 | 2007-02-07 |
| 1275607640 | Nathan Warren Smith | Physical Therapy Assistant | 4115 Ea 240 No, Rigby, ID 83442-5879 | 2006-11-20 |
| 1811918329 | Nathan England Smith | Dentist | 148 South 1100 East, American Fork, UT 84003 | 2006-07-21 |
| Street Address |
220 GRAND REGENCY BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550216 | James William Pank | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-09-27 |
| 1114409158 | Eric Shawn Huff | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2018-09-06 |
| 1689921264 | Liam Magaly Aponte | Nurse Practitioner | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2012-08-13 |
| 1093046757 | Zirnita J Mallory | Pharmacist | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2010-01-20 |
| 1265583835 | Christy Lea Godbee-awe | Physician Assistant | 220 Grand Regency Blvd, Macdill Community Clinic-brandon, Brandon, FL 33510-3935 | 2007-01-12 |
| 1538250493 | Brenda Faye Pinkerman | Psychologist | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2006-09-27 |
| 1811921398 | Susan Faye Mulero | Family Medicine | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2006-07-10 |
| 1285616847 | James Cline Belcher II | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-11-18 |
| 1629069570 | Frank Michael Dessauer | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| 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 |
|---|---|---|---|---|
| 1548892904 | Meghan Seymour | Physician Assistant | 510 Glensview Dr, Brandon, MS 39047-7919 | 2020-02-04 |
| 1699006718 | Tom Patrick Timothy | Physician Assistant | 2149 Brandon Park Cir, Brandon, FL 33510-3946 | 2010-01-29 |
| 1023286606 | Margaret Saunders Brown | Physician Assistant | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2008-02-15 |
| 1780748368 | Patrick Sean Duffy | Physician Assistant | 131 N Oakwood Ave Ste 135, Brandon, FL 33510 | 2006-12-20 |
| 1104933241 | Devon Adair Bathurst | Physician Assistant | Brandon Regional Hospital, 119 Oakfield Dr., Brandon, FL 33511 | 2006-08-24 |
| 1104853704 | Amanda Renea Porter | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 | 2006-06-27 |
| 1346286143 | Mark Herbert Sutherland | Physician Assistant | 799 Lumsden Rd., Brandon, FL 33511 | 2006-06-21 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| 1487628376 | Tommy L Sims | Physician Assistant | 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 | 2006-02-15 |
| 1619584224 | Lucy Harris | Physician Assistant | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2020-09-28 |
| Find all providers in BRANDON | ||||
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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.