MR. CODY CHARLES SMITH (NPI# 1548892110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548892110 |
Entity Type | Individual |
Full Name | MR. CODY CHARLES SMITH |
Credential | PA |
Practice Address |
11795 Education St Ste 220 Auburn CA 95602-2469 |
Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
Practice Telephone | 5308866850 |
Mailing Telephone | 8557710335 |
Enumeration Date | 2020-02-11 |
Last Update Date | 2020-03-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA57810 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982028429 | Cody Smith | Pharmacist | 1515 S Clifton Ave Ste 100, Wichita, KS 67218-2951 | 2014-02-04 |
1063751311 | Cody Glenn Smith | Chiropractor | 25 Haverstraw Pl, Springboro, OH 45066-7116 | 2013-02-06 |
1427389964 | Cody Wayne Smith | Specialist/Technologist, Other | 1650 W. Rosedale, Suite 201, Fort Worth, TX 76104 | 2010-01-22 |
1720185309 | Cody William Dunbar Smith | Emergency Medicine | 6815 Biscayne Blvd, Suite 103-424, Miami, FL 33138-6292 | 2006-09-17 |
1942801980 | Cody F Smith | Pharmacist | 1320 S Glenstone Ave, Springfield, MO 65804-0302 | 2020-11-05 |
1619524287 | Cody Smith | Behavior Technician | 500 Military Cutoff Rd, Wilmington, NC 28405-9737 | 2019-08-19 |
1053966861 | Cody Smith | Social Worker | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2019-08-08 |
1417418732 | Cody Fabian Smith | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2019-03-28 |
1770044166 | Cody Smith | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2019-03-27 |
1164981122 | Cody Allan Smith | Student in an Organized Health Care Education/Training Program | 2347 Fifth Ave, Mckeesport, PA 15132-1126 | 2019-03-18 |
Street Address |
11795 EDUCATION ST STE 220 |
City | AUBURN |
State | CA |
Zip Code | 95602-2469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
Find all providers in zip 95602 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497191993 | Jason Alan Berryhill | Physician Assistant | 13555 Bowman Rd, Suite 100, Auburn, CA 95603-3156 | 2013-05-12 |
1881889731 | Ryan P Dirks | Physician Assistant | 1314 8th St Ne Ste 101, Auburn, WA 98002-4587 | 2007-09-12 |
1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
1306986294 | Blythe E Fawcett | Physician Assistant | 37 W Garden St Ste 105, Auburn, NY 13021 | 2007-02-08 |
1144379884 | Gerald Ortego | Physician Assistant | 192 W Genesee St, Lake Region Urology, Auburn, NY 13021-3361 | 2007-01-10 |
1659478360 | Melanie M Lehman | Physician Assistant | 3254 Professional Dr, Auburn, CA 95602 | 2006-09-17 |
1073527354 | Cynthia L Rubbert | Physician Assistant | 1000 Auburn Way S, Auburn, WA 98002-6132 | 2006-07-29 |
1811980790 | E Darren Racht | Physician Assistant | 207 Southbridge St, Auburn, MA 01501-2548 | 2005-08-25 |
1548264476 | Meridith Christine Yochim | Physician Assistant | 901 Eckhart Ave, Auburn, IN 46706-1325 | 2005-06-09 |
1699253047 | Stephen Wheeler | Physician Assistant | 122 3rd St Ne, Auburn, WA 98002-4013 | 2018-07-29 |
Find all providers in AUBURN |
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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.