DR. KENNETH RONALD SMITH (NPI# 1508979477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508979477 |
| Entity Type | Individual |
| Full Name | DR. KENNETH RONALD SMITH |
| Credential | MD |
| Practice Address |
1155 W Parkview St Suite 2d Bolivar MO 65613-8279 |
| Mailing Address |
1500 N Oakland Ave Bolivar MO 65613-3011 |
| Practice Telephone | 4177772663 |
| Practice Fax Number | 4177772666 |
| Mailing Telephone | 4173266000 |
| Mailing Fax Number | 4173286338 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MDR3K38 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
1155 W PARKVIEW ST SUITE 2D |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-8279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531545 | Walter Wayne Wolf IIi | Surgery | 1155 W Parkview St, Suite 1f, Bolivar, MO 65613-8279 | 2006-05-02 |
| 1265971865 | Jacob (jake) William Condren | Physician Assistant | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2017-02-15 |
| 1073829925 | Troy Morrison | Orthopaedic Surgery | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2010-08-28 |
| 1285956797 | Matthew Campbell Ericksen | Otolaryngology | 1155 W Parkview St, Suite 2j, Bolivar, MO 65613-8279 | 2010-02-25 |
| 1235395765 | Citizens Memorial Healthcare Clinics | Durable Medical Equipment & Medical Supplies | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2008-08-04 |
| 1851468987 | Martin S. Tyson | Surgery | 1155 W Parkview St, Suite 1g, Bolivar, MO 65613-8279 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766558 | David B Rogers | Orthopaedic Surgery | 1155 W. Parkview St., Suite 2d, Bolivar, MO 65613-7800 | 2005-11-09 |
| 1073829925 | Troy Morrison | Orthopaedic Surgery | 1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279 | 2010-08-28 |
| 1578798054 | Jonathan Eugene Gray | Orthopaedic Surgery | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2009-05-27 |
| 1083828743 | Parkview Orthopaedic Clinic | Orthopaedic Surgery | 1245 N Butterfield Rd, Bolivar, MO 65613-3017 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588164347 | Orthopedic Associates of Jc, LLC | Orthopaedic Surgery | 19201 E Valley View Pkwy Ste C, Independence, MO 64055-6913 | 2018-02-19 |
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1922528249 | Chikezie Okeagu | Orthopaedic Surgery | 621 South New Ballas, St. Louis, MO 63141 | 2017-06-27 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1003268087 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379 | 2016-07-01 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1447660451 | Tyson Travis | Orthopaedic Surgery | 2820 E Rock Haven Rd Ste 120, Harrisonville, MO 64701-4413 | 2014-04-29 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
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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.