MS. JONNELLE D SMITH (NPI# 1487877130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487877130 |
| Entity Type | Individual |
| Full Name | MS. JONNELLE D SMITH |
| Credential | PA |
| Practice Address |
523 S Main St Carrollton IL 62016-1256 |
| Mailing Address |
390 Maple Summit Rd Jerseyville IL 62052-2000 |
| Practice Telephone | 2179423326 |
| Practice Fax Number | 2179429833 |
| Mailing Telephone | 6184987518 |
| Mailing Fax Number | 6184983052 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 085 002986 | IL | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
523 S MAIN ST |
| City | CARROLLTON |
| State | IL |
| Zip Code | 62016-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477092427 | Allison N Sagez | Nurse Practitioner | 523 S Main St, Carrollton, IL 62016-1256 | 2017-02-22 |
| 1689079642 | Jersey Community Hospital | Clinic/Center | 523 S Main St, Carrollton, IL 62016-1256 | 2014-11-03 |
| 1427270941 | James Uhles | Pediatrics | 523 S Main St, Carrollton, IL 62016-1251 | 2007-05-03 |
| 1932234622 | Illini Medical Associates Sc | Family Medicine | 523 S Main St, Carrollton, IL 62016-1251 | 2007-02-22 |
| 1619934304 | Michael S Mcnear | Family Medicine | 523 S Main St, Carrollton, IL 62016-1251 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209972 | Dee Anna Darr | Speech-Language Pathologist | 109 2nd St, Carrollton, IL 62016 | 2006-08-30 |
| 1023125283 | Lisa A Hart | Chiropractor | 307 6th St, Carrollton, IL 62016 | 2006-08-24 |
| 1972536761 | R Scott Beavers | Dentist | 403 Locust, Carrollton, IL 62016 | 2006-07-08 |
| 1568557593 | Pharmacy Plus Inc | Pharmacy | 508 N Main St, Carrollton, IL 62016-1027 | 2006-10-04 |
| 1912319039 | Ethan Ridenour | Occupational Therapy Assistant | 320 4th Street, Carrollton, IL 62016-1135 | 2014-05-22 |
| 1700148194 | Hamel Chiropractic Clinic LLC | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-12 |
| 1184986754 | Justin Kyle Hamel | Chiropractor | 425 N Main St, Carrollton, IL 62016-1136 | 2012-06-11 |
| 1275779415 | All Hart Chiropractic Inc | Clinic/Center | 307 6th St, Carrollton, IL 62016-1247 | 2008-12-17 |
| 1891166989 | Alexander Beavers | Dentist | 403 Locust St, Carrollton, IL 62016-1304 | 2015-10-14 |
| 1225038169 | County of Greene | Home Health | 310 5th St, Carrollton, IL 62016-1325 | 2005-07-21 |
| Find all providers in zip 62016 | ||||
| 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 |
|---|---|---|---|---|
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1073129276 | Versoal, Pllc | Physician Assistant | 2459 E Hebron Pkwy Ste 100, Carrollton, TX 75010-4477 | 2020-09-22 |
| 1679099477 | Alyssa Musa Ali | Physician Assistant | 1301 Oneida Dr, Carrollton, TX 75010-2303 | 2017-08-14 |
| 1164887899 | Jashica Desai | Physician Assistant | 4300 N Josey Ln Ste 110, Carrollton, TX 75010-4681 | 2015-12-22 |
| 1538473343 | Christie Marie Redrow | Physician Assistant | 1237 Stillwater Trl, Carrollton, TX 75007-6230 | 2010-08-04 |
| 1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
| 1861623951 | Asma Ashiqali Bhaidani | Physician Assistant | 4125 Fairway Dr Ste 190, Carrollton, TX 75010 | 2009-08-06 |
| 1942328984 | Autumn Deese Davis | Physician Assistant | 401 Dixie St, Carrollton, GA 30117-3921 | 2007-03-27 |
| 1306984679 | Richard C Schutt | Physician Assistant | 4780 N Josey Lane, Carrollton, TX 75010 | 2007-02-01 |
| 1437222783 | Gary Steven Marcum | Physician Assistant | 1702 E Belt Line Rd, Carrollton, TX 75006-6375 | 2006-11-16 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 62016 |
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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.