MARK SMALLEY (NPI# 1477512168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477512168 |
| Entity Type | Individual |
| Full Name | MARK SMALLEY |
| Credential | DO |
| Practice Address |
3950 Hollywood Rd Suite 270 Saint Joseph MI 49085-9159 |
| Practice Telephone | 2699827840 |
| Practice Fax Number | 2699827843 |
| Mailing Telephone | 2699827840 |
| Mailing Fax Number | 2699827843 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MS007105 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAIL ROAD MEDICARE | 110203217 | 01 |
| MI | BCBS | 0A110280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780791590 | Mark A Smalley | Social Worker | 3712 E 11th Street, Tulsa, OK 74112 | 2006-08-25 |
| Street Address |
3950 HOLLYWOOD RD SUITE 270 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678021 | Lowell D Smith | Internal Medicine | 3950 Hollywood Rd, Ste 240, Saint Joseph, MI 49085-9151 | 2005-06-13 |
| 1144799982 | Philip Jasheway | Physical Therapist | 3950 Hollywood Rd, Saint Joseph, MI 49085-9159 | 2018-11-23 |
| 1235608274 | Sharon Elizabeth Roberts | Occupational Therapist | 3950 Hollywood Rd, Saint Joseph, MI 49085-9159 | 2018-11-20 |
| 1588113666 | Jessica R Schulte | Nurse Practitioner | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2016-09-29 |
| 1467804567 | Debora Tenter | Nurse Practitioner | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2016-07-13 |
| 1649622796 | Emily Schlitz Fix | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-07-12 |
| 1336599901 | Kaitlyn Jackson | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-06-15 |
| 1558725903 | Adam Thiesse | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-04-12 |
| 1336514587 | Laurel Joy Yoder | Advanced Practice Midwife | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2015-12-14 |
| 1487021481 | Kathryn Jean Kern | Advanced Practice Midwife | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| 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 |
|---|---|---|---|---|
| 1013321140 | Kimberlee Ann Tomerlin | Internal Medicine | 3950 Hollywood Rd Ste 100, Saint Joseph, MI 49085-9151 | 2014-06-17 |
| 1467728303 | Covenant Optimized Living LLC | Internal Medicine | 4910 Frederick Ave, Saint Joseph, MO 64506-3246 | 2012-03-26 |
| 1215179346 | Byron Lee Thornton | Internal Medicine | 901 Heartland Rd., Ste. 3800 Specialists of Internal Medicine, Saint Joseph, MO 64506-6201 | 2009-04-06 |
| 1861642357 | Amandeep Kaur Dhatt | Internal Medicine | 902 N Riverside Rd Ste 200, Saint Joseph, MO 64507-2566 | 2008-09-22 |
| 1346402187 | Chernet Gebrekirstos Teklemichael | Internal Medicine | 4020 Bay Point Dr, Saint Joseph, MO 64506-4560 | 2008-07-01 |
| 1225299928 | Lauren E Buckles | Internal Medicine | 220 South Woodbine Road, Saint Joseph, MO 64506-3447 | 2008-06-24 |
| 1528228525 | Stanley A James | Internal Medicine | 3911 Stonegate Park, Saint Joseph, MI 49085-9130 | 2008-06-12 |
| 1669670501 | Jon Gertken | Internal Medicine | 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507-2508 | 2007-07-03 |
| 1639373095 | Inga Sriubiene | Internal Medicine | 3950 Hollywood Rd Ste 250, Saint Joseph, MI 49085-9151 | 2007-06-12 |
| 1053413914 | Nikola Karlo Bartulica | Internal Medicine | 105 Far West Dr Ste 100, Saint Joseph, MO 64506-3514 | 2006-09-02 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.