MR. ROBERT J SMITH


Address: 1405 Montgomery Dr, Santa Rosa, CA 95405-4557
Phone: 7075461922

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA20267 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PA20267 05
CA CIGNA DME 0PA202670 01
CA LICENSE NUMBER PA20267 01

Other Providers ROBERT SMITH

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

Office Location

Street Address 1405 MONTGOMERY DR
City SANTA ROSA
State CA
Zip Code 95405-4557

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95405

Improve Information

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Dataset Information

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.

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