DR. THERESA T SMITH (NPI# 1558451773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558451773 |
| Entity Type | Individual |
| Full Name | DR. THERESA T SMITH |
| Credential | M.D. |
| Practice Address |
587 Mcclellan Rd Jackson TN 38305-9686 |
| Practice Telephone | 7316610696 |
| Mailing Telephone | 7316610696 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD0000022199 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3067011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980052 | Theresa P Smith | Technician | 2301 11th St Nw Apt 116, Washington, DC 20001-2245 | 2017-05-26 |
| 1942651518 | Theresa Smith | Pediatrics | 5580 Celestial Dr, Atwater, CA 95301-3119 | 2016-06-24 |
| 1346516697 | Theresa Smith | Occupational Therapist | 33 Buttonwood Pl, Hazlet, NJ 07730-2173 | 2012-03-30 |
| 1356672604 | Theresa Monahan Smith | Registered Nurse | 177 Carroll Ave, Brockton, MA 02301-6315 | 2010-01-27 |
| 1801916283 | Theresa Faye Smith | Social Worker | 14 North Cottonwood Street, Woodland, AL 95695 | 2007-03-30 |
| 1841321486 | Theresa J Smith | Social Worker | 1119 S Elliott Ave, Aurora, MO 65605-2405 | 2007-03-07 |
| 1326119538 | Theresa Smith | Occupational Therapist | 7675 Phoenix Dr Apt 1025, Houston, TX 77030-4718 | 2006-11-10 |
| 1659312973 | Theresa Flynn Smith | Social Worker | 517 Tomahawk Ave, Black Mountain, NC 28711-2861 | 2006-06-09 |
| 1063476000 | Theresa L. Smith | Chiropractor | 122 E Walnut Ave, Suite C, Monrovia, CA 91016-3449 | 2006-04-14 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| Street Address |
587 MCCLELLAN RD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-9686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871527010 | Paul Jonathan Smith | Internal Medicine | 587 Mcclellan Rd, Jackson, TN 38305-9686 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1891145850 | Abdullah Sharaf | Pediatrics | 760 W Franklin St # 49201, Jackson, MI 49201-2048 | 2016-06-20 |
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1073992699 | Muna Balkash | Pediatrics | 4645 Eagle Dr, Jackson, MI 49201-9748 | 2015-05-28 |
| 1295147809 | Jayasree Vasudevan Nair | Pediatrics | 100 Mission Blvd Ste 2600, Jackson, CA 95642-2536 | 2014-05-30 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
| 1861647489 | Elizabeth Keeling Hensley | Pediatrics | 2046 Petit Bois St S, Jackson, MS 39211-6709 | 2008-11-24 |
| 1942469606 | The Children's Clinic of West Tennessee P.a. | Pediatrics | 264 Coatsland Dr, Jackson, TN 38301-3948 | 2008-06-06 |
| Find all providers in JACKSON | ||||
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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.