MR. ROBERT J SMITH (NPI# 1477765931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477765931 |
Entity Type | Individual |
Full Name | MR. ROBERT J SMITH |
Credential | P.A. |
Practice Address |
1405 Montgomery Dr Santa Rosa CA 95405-4557 |
Practice Telephone | 7075461922 |
Practice Fax Number | 7075461897 |
Mailing Telephone | 7075461922 |
Mailing Fax Number | 7075461897 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2008-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA20267 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PA20267 | 05 | |
CA | CIGNA DME | 0PA202670 | 01 |
CA | LICENSE NUMBER | PA20267 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
1104430552 | Robert Nathan Smith | Student in an Organized Health Care Education/Training Program | 50 Don Martin Rd, Perkinston, MS 39573-5919 | 2020-09-03 |
1467087767 | Robert Smith Iv | Non-emergency Medical Transport (VAN) | 1710 Santa Maria Pl, Orlando, FL 32806-1446 | 2020-03-06 |
1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
1841758653 | Robert B Smith Jr. | Counselor | 2830 228th Ave Se Ste C, Sammamish, WA 98075-9300 | 2019-03-11 |
1497234660 | Robert Lewis Smith | Nuclear Medicine | 11398 Morton Rd, Keithville, LA 71047-6529 | 2018-08-08 |
1760978282 | Robert R Smith | Psychologist | 159 Tall Oaks Dr Unit H, Weymouth, MA 02190-3552 | 2018-07-09 |
1992298392 | Robert Brandon Smith | Physical Therapist | 1320 Oakfield Dr, Brandon, FL 33511-4860 | 2018-06-11 |
1447740808 | Robert G. Smith | Music Therapist | 2175 Hopkins Ln, Easton, PA 18040-8047 | 2018-05-11 |
1477050516 | Robert Stanley Smith | Behavioral Analyst | 20 Deerfield Ln, Eastham, MA 02642-2250 | 2018-04-06 |
Street Address |
1405 MONTGOMERY DR |
City | SANTA ROSA |
State | CA |
Zip Code | 95405-4557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750365102 | Michael James Mcdermott | Orthopaedic Surgery | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2005-11-30 |
1487118105 | Rodney Gerrit Dekleuver | Physician Assistant | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2019-01-27 |
1083010813 | Nadine Raymond | Occupational Therapist | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2014-11-05 |
1043471279 | Christian Nabil Athanassious | Orthopaedic Surgery | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2008-06-20 |
1720272313 | Neema Pourtaheri | Orthopaedic Surgery | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2007-08-28 |
1114126869 | Dominic J Mintalucci | Orthopaedic Surgery | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2007-07-13 |
1891997227 | Jennifer Henshaw-lefever | Occupational Therapist | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2007-06-05 |
1164637922 | Santa Rosa Orthopaedic Medical Group, Inc. | Orthopaedic Surgery | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2007-05-14 |
1588876049 | Patricia K Hall | Physical Therapist | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2007-05-04 |
1821200395 | Christopher T Krug | Physical Therapist | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2007-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
Find all providers in zip 95405 |
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 |
---|---|---|---|---|
1588139091 | Jenny Quan | Physician Assistant | 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115 | 2018-10-11 |
1760978506 | Rhett Chandler Lacey | Physician Assistant | 545 Caber Dr, Santa Rosa, CA 95409-4404 | 2018-07-05 |
1417079112 | James Thomas Williams | Physician Assistant | 728 Mendocino Ave, Santa Rosa, CA 95401-4804 | 2007-04-04 |
1356491112 | Jaremy Lowe Kwock | Physician Assistant | 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 | 2007-01-11 |
1235203274 | Ann S Bruner-welch | Physician Assistant | 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 | 2006-11-20 |
1770672925 | Robert Evan Crenshaw | Physician Assistant | 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 | 2006-10-12 |
1982640298 | Amy K Jones | Physician Assistant | 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 | 2006-06-22 |
1821068669 | Christine J Perkowska | Physician Assistant | 583 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2006-01-24 |
1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95405 |
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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.