ROGER DALE SMITH (NPI# 1487868196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487868196 |
| Entity Type | Individual |
| Full Name | ROGER DALE SMITH |
| Practice Address |
509 Ward Ave Caruthersville MO 63830-1661 |
| Practice Telephone | 5733335777 |
| Practice Fax Number | 5733332545 |
| Mailing Telephone | 5733335777 |
| Mailing Fax Number | 5733332545 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 268949609 | 05 | |
| MO | 288949605 | 05 | |
| MO | 858949605 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720147 | Roger Smith Jr. | Behavior Technician | 4241 Soto St, Riverside, CA 92509-3446 | 2017-10-04 |
| 1124211081 | Roger Paul Smith | Chiropractor | 9755 N 90th St Ste A203, Scottsdale, AZ 85258-5079 | 2007-08-23 |
| 1245324904 | Roger D Smith | Dentist | 933 Russell Rd Ste 103, Columbia, KY 42728-1054 | 2006-10-03 |
| 1801905054 | Roger Gordon Smith | Internal Medicine | 1030 Jefferson Ave Dept 11c, Memphis, TN 38104-2127 | 2006-08-30 |
| 1184730467 | Roger A Smith | Chiropractor | 286 Montevue Ln, Frederick, MD 21702-8212 | 2006-08-21 |
| 1922015403 | Roger M. Smith | Social Worker | 14317 Hickory Dr., Ponchatoula, LA 70454-6653 | 2006-08-01 |
| 1144257536 | Roger Raymond Smith | Specialist | 909 Hyde St., Suite #531, San Francisco, CA 94106-0001 | 2006-06-28 |
| 1003872631 | Roger Mcdonnell Smith | Psychiatry & Neurology | 4125 Landisville Rd, Doylestown, PA 18902 | 2006-04-22 |
| 1831163385 | Roger P Smith | Obstetrics & Gynecology | 2801 Brookline Ct, Zionsville, IN 46077-1194 | 2006-02-13 |
| 1538148952 | Roger Garrett Smith | Family Medicine | 256 Se 2nd Ave, Hillsboro, OR 97123 | 2006-01-13 |
| Street Address |
509 WARD AVE |
| City | CARUTHERSVILLE |
| State | MO |
| Zip Code | 63830-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811375934 | Cotoneaster Cds,llc | Home Health | 509 Ward Ave, Caruthersville, MO 63830-1661 | 2015-05-08 |
| 1609076850 | Cotoneaster Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 509 Ward Ave, Caruthersville, MO 63830-1661 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216400 | Jazmyne S Hall | Behavior Technician | 915 Highway 84, Caruthersville, MO 63830 | 2019-10-14 |
| 1134573017 | Nathan Straeter | Pharmacist | State Highway 84 West, Caruthersville, MO 63830 | 2016-04-18 |
| 1861805624 | Ashley Marie Ballard | Case Manager/Care Coordinator | 10 & Ward Suite C, Caruthersville, MO 63830 | 2014-06-09 |
| 1356764435 | Jena Payne | Case Manager/Care Coordinator | 10th Ward St, Caruthersville, MO 63830 | 2014-01-27 |
| 1619390705 | James Smith | Case Manager/Care Coordinator | 10th & Ward Suite B, Caruthersville, MO 63830 | 2014-01-27 |
| 1730501370 | Belinda Fields | Community Health Worker | 10th & Ward, C, Caruthersville, MO 63830 | 2014-01-16 |
| 1831387372 | T M Swinger & D V Mckillip, Ptr | Optometrist | 101 E. 10th St., Suite A, Caruthersville, MO 63830 | 2007-10-10 |
| 1437284635 | Terrence M Swinger | Optometrist | 101 E. Tenth St., Suite A, Caruthersville, MO 63830 | 2007-02-21 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| 1366512287 | Krilurk Chanvitayapongs | Pharmacist | 2709 South Ward, Caruthersville, MO 63830 | 2006-11-08 |
| Find all providers in zip 63830 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840360 | New Heights Homehealth Care, LLC | Homemaker | 4435 N Highway 67, Florissant, MO 63034-2831 | 2020-10-28 |
| 1104426659 | Midwest Home Health Care, Inc. | Homemaker | 1 W Armour Blvd Ste 101, Kansas City, MO 64111-2087 | 2020-10-26 |
| 1770199655 | Brittny Lynn Cockrell | Homemaker | 1105 Borden Dr, Florissant, MO 63031-1301 | 2020-09-16 |
| 1831717339 | Shantell Small | Homemaker | 1355 Taos Dr, Saint Louis, MO 63138-2317 | 2020-07-10 |
| 1942820063 | Loving Hearts Home Care LLC | Homemaker | 1409 Washington Ave Ste 416, Saint Louis, MO 63103-1917 | 2020-04-18 |
| 1760018436 | Nana and Jack's In-home Healthcare,llc | Homemaker | 1409 Washington Ave Ste 419, Saint Louis, MO 63103-1917 | 2020-03-13 |
| 1740812890 | Rotha Montez Perkins | Homemaker | 6815 Askew Ave, Kansas City, MO 64132-3017 | 2020-02-06 |
| 1447890413 | Charlene Coates | Homemaker | 9516 Drury Ave Apt 108, Kansas City, MO 64137-1234 | 2020-01-08 |
| 1881246056 | Reliable Home Health Service LLC | Homemaker | 2126 Woodson Rd, Saint Louis, MO 63114-5616 | 2019-07-09 |
| 1891257721 | Erica Ray | Homemaker | 1454 Hogan St, Saint Louis, MO 63106-4733 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | CARUTHERSVILLE |
| Zip Code | 63830 |
Please comment or provide details below to improve the information on ROGER DALE SMITH.
| 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.