GARY STEPHEN SMITH (NPI# 1528154093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528154093 |
| Entity Type | Individual |
| Full Name | GARY STEPHEN SMITH |
| Credential | M.D. |
| Practice Address |
920 West Wackerly Street Midland MI 48640 |
| Practice Telephone | 9898399937 |
| Practice Fax Number | 9898399220 |
| Mailing Telephone | 9898399937 |
| Mailing Fax Number | 9898399220 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | GS036337 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1339187 | 05 | |
| MI | PPI | OE66012005 | 01 |
| MI | BLUE PIN | 0565813 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254393 | Gary Smith | Counselor | 97 Olde English, Romeoville, IL 60446 | 2020-01-16 |
| 1366879702 | Gary Stephen Smith | Dentist | 1391 Emerald Cir, Southlake, TX 76092-3305 | 2013-09-30 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1578887873 | Gary Lamont Smith | Counselor | 1801 N Tryon St Ste 111, Charlotte, NC 28206-2704 | 2010-03-16 |
| 1558505610 | Gary Dean Smith | Chiropractor | 1778 Watson St N, Enumclaw, WA 98022-3447 | 2009-04-20 |
| 1972781466 | Gary Bruce Smith | Counselor | 1218 West Broadway Avenue, Sulphur, OK 73086-4416 | 2008-02-06 |
| 1639369465 | Gary E.m. Smith | Optometrist | 511 E. Kern Ave., Tulare, CA 93274-4210 | 2007-07-27 |
| 1639372162 | Gary R Smith | Chiropractor | 74-967 Hwy 111, Indian Wells Chiropractic Clinic, Indian Wells, CA 92210 | 2007-06-11 |
| 1578614426 | Gary L. Smith | Dentist | 7600 Raytown Road, Suite 102, Raytown, MO 64138-1855 | 2007-01-16 |
| 1316014582 | Gary Steven Smith | Technician/Technologist | 2400 N Croatan Hwy, Kill Devil Hills, NC 27948-9355 | 2006-11-30 |
| Street Address |
920 WEST WACKERLY STREET |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386737815 | Midland Family Physicians PC | Family Medicine | 920 West Wackerly Street, Midland, MI 48640-2700 | 2006-10-02 |
| 1184719601 | Mark Steven Ostahowski | Family Medicine | 920 West Wackerly Street, Midland, MI 48640 | 2006-10-03 |
| 1013001437 | Jennifer Rose Aloff | Family Medicine | 920 West Wackerly Street, Midland, MI 48640 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1982202263 | Stonehaven Medical Group, Pllc | Family Medicine | 4507 Santa Rosa Dr, Midland, TX 79707-2260 | 2020-10-09 |
| 1346888625 | Kw Medical Pllc | Family Medicine | 2300 W Michigan Ave Ste 7, Midland, TX 79701-5808 | 2019-12-17 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1104351055 | Mh Health Care Services, PC | Family Medicine | 2201 Fm 715, C/o Endeavor Family Clinic, Midland, TX 79706-4211 | 2017-04-28 |
| 1407380660 | Bel Esc Wellness Pllc | Family Medicine | 2304 W Michigan Ave Ste A, Midland, TX 79701-5830 | 2017-04-14 |
| 1588078620 | Melissa Weckesser | Family Medicine | 4611 Campus Ridge, Midland, MI 48670-6122 | 2014-06-17 |
| 1619388774 | Zachary Paul Castle | Family Medicine | 3415 N Loop 250 W Bldg 4, Midland, TX 79707-6034 | 2014-05-12 |
| 1447598875 | Bhuvana Balasekaran Md Pa | Family Medicine | 1301 W Wall St, Ste C, Midland, TX 79701-6621 | 2013-01-18 |
| Find all providers in MIDLAND | ||||
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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.