DR. MATTHEW VERNON SMITH (NPI# 1457567430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457567430 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW VERNON SMITH |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 6a/6b/12a Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave Cb 8233 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147472551 |
| Practice Fax Number | 3147472598 |
| Mailing Telephone | 3147472500 |
| Mailing Fax Number | 3147472598 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2009015783 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209359207 | 05 | |
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1003433277 | Matthew P Smith | Massage Therapist | 1733 E 22nd Ave Apt 1, Denver, CO 80205-5588 | 2020-07-02 |
| 1093332017 | Matthew Craig Smith | Dentist | 7033 Stantonsburg Rd, Farmville, NC 27828-9031 | 2020-06-26 |
| 1235790221 | Matthew Smith | Physical Therapist | 185 Hickory Ln, Washington Court House, OH 43160-9406 | 2019-06-21 |
| 1639739345 | Matthew Douglas Smith | Dentist | 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 | 2019-06-14 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1114446002 | Matthew R Smith | Counselor | 1801 E 5th St Ste 208, Charlotte, NC 28204-3400 | 2017-09-12 |
| 1518495241 | Matthew Smith | Internal Medicine | 200 Hawkins Dr Dept Intmed, Iowa City, IA 52242-1009 | 2017-05-25 |
| Street Address |
4921 PARKVIEW PL STE 6A/6B/12A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
| 1881291284 | Brandy R Boyle | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1225635527 | Faith Fields | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1912528100 | Kaitlin J Portz | Psychologist | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-04-29 |
| 1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
| 1174159701 | Grace Catherine Keane | Student in an Organized Health Care Education/Training Program | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-16 |
| 1740828581 | Michelle Anne Maurer | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-12-11 |
| 1205472487 | Sarah Bohme | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-11-21 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1871144832 | Sara Ranae Kellahan | Nurse Practitioner | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2019-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912394958 | Joseph Jared Guth | Orthopaedic Surgery | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2015-04-16 |
| 1710244512 | Diana Choate Patterson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2012-04-18 |
| 1043535438 | Scott Albert Simpson | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2010-03-29 |
| 1821227406 | Ljiljana Bogunovic | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-07-05 |
| 1194950451 | St. Louis Sports Health, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 325, Saint Louis, MO 63131-2050 | 2009-05-15 |
| 1710129630 | Laura Christine Depalma | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-03-25 |
| 1588821334 | Vaibhav V Ardhan Maheshwari | Orthopaedic Surgery | 4921 Parkview Pl, Ste A and B 6th Floor, Saint Louis, MO 63110-1032 | 2008-05-20 |
| 1740470434 | Joy Lynn English | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-07-28 |
| 1508066317 | Terra Rupert Blatnik | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-07-19 |
| 1861610743 | Julienne Lippe | Orthopaedic Surgery | 12855 N 40 Dr, Suite 125 North Tower, Saint Louis, MO 63141-8657 | 2007-04-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.