MR. TONY LAVON SMITH JR. (NPI# 1528397494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528397494 |
Entity Type | Individual |
Full Name | MR. TONY LAVON SMITH JR. |
Practice Address |
3995 Marcola Road The Child Center Springfield OR 97477 |
Mailing Address |
3400 Sw 173rd Ave Beaverton OR 97006-4526 |
Practice Telephone | 5417261465 |
Enumeration Date | 2009-12-23 |
Last Update Date | 2009-12-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437558707 | Tony Smith Sr. | Non-emergency Medical Transport (VAN) | 20064 Lake Lynwood Dr, Lynwood, IL 60411-1548 | 2014-08-22 |
1821339128 | Tony J Smith | Pharmacist | 70 S 100 W, Beaver, UT 84713-0825 | 2013-03-12 |
1215078795 | Tony Dwayne Smith | Emergency Medicine | 71 Wheelertown Ave, Pikeville, TN 37367-5246 | 2007-02-09 |
1376654673 | Tony Roy Smith | Chiropractor | 905 N Main Ave, Big Lake, TX 76932-3201 | 2006-08-31 |
1487655437 | Tony Shawn Smith | Optometrist | 1225 Paris Rd, Mayfield, KY 42066-4989 | 2005-08-02 |
1164852521 | Tony Smith | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2632 | 2013-11-22 |
1124284575 | Tony Smith | Specialist/Technologist, Other | 312 21st Ave N, Nashville, TN 37236-0001 | 2008-08-05 |
1013069095 | Tony E Smith | Chiropractor | 136 W Dykes St, Cochran, GA 31014-0845 | 2007-01-18 |
1679668354 | Tony P Smith | Radiology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-10-04 |
1144249707 | Tony Lee Smith | Chiropractor | 936 W Avenue J4, #104, Lancaster, CA 93534-4246 | 2006-07-18 |
Street Address |
3995 MARCOLA ROAD THE CHILD CENTER |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013099522 | James Tomasevich | Counselor | 3995 Marcola Road, Springfield, OR 97477 | 2006-10-20 |
1992275580 | Kayleen Patricia Knutson | Behavioral Analyst | 3995 Marcola Road, Springfield, OR 97477 | 2018-11-27 |
1881123610 | Sierra Emily Gerhard | Behavioral Analyst | 3995 Marcola Road, Springfield, OR 97477 | 2017-06-06 |
1669760401 | Katie Lee Stoneberg | Counselor | 3995 Marcola Road, Springfield, OR 97477 | 2011-07-14 |
1366638553 | Dennis Elroy Reynolds | Psychiatry & Neurology | 3995 Marcola Road, Springfield, OR 97477 | 2007-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
1205443462 | India Iasia Kyles | Counselor | 82 Tilton St, Springfield, MA 01109-2332 | 2020-09-30 |
1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
1568098952 | Jennifer Corsi | Counselor | 130 Maple St Ste 201, Springfield, MA 01103-2214 | 2020-03-17 |
1245865500 | Annette Lynn Brandenburg | Counselor | 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 | 2020-03-06 |
1962045443 | Emilie Noel Phillips | Counselor | 3826 E Lomita St, Springfield, MO 65809-3710 | 2019-10-28 |
1265082234 | Sierra Jane Forney | Counselor | 98 Garnet St, Springfield, MA 01129-1908 | 2019-09-12 |
1700438678 | Julie Ann Blythe | Counselor | 620 N Walnut St, Springfield, IL 62702-4930 | 2019-07-11 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
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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.