MR. M. DENNIS SMITH (NPI# 1598793952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598793952 |
| Entity Type | Individual |
| Full Name | MR. M. DENNIS SMITH |
| Other Name | MR. MARVIN DENNIS SMITH |
| Credential | CRNFA |
| Practice Address |
55 Twin Oaks Ave Suite C Lebanon OR 97355-2864 |
| Practice Telephone | 5414516412 |
| Practice Fax Number | 5414516414 |
| Mailing Telephone | 5414516412 |
| Mailing Fax Number | 5414516414 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 TWIN OAKS AVE SUITE C |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417900598 | William C. Robertson Jr. | Orthopaedic Surgery | 55 Twin Oaks Ave, Suite D-5, Lebanon, OR 97355-2864 | 2006-05-18 |
| 1093827321 | John V. Bailey | Obstetrics & Gynecology | 55 Twin Oaks Ave, Suite A-1, Lebanon, OR 97355-2864 | 2006-08-31 |
| 1194752238 | Shi H. Lee | Pediatrics | 55 Twin Oaks Ave, Suite A-2, Lebanon, OR 97355-2864 | 2006-06-26 |
| 1861447641 | Raymond E Westermeyer | Internal Medicine | 55 Twin Oaks Ave, Suite #a-1, Lebanon, OR 97355-2864 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 364SP2800X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Perioperative |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417171836 | Claudia Renee Flaiz | Clinical Nurse Specialist | 610 Nw 11th St, Ste. E21, Hermiston, OR 97838-6601 | 2007-04-13 |
| 1801914734 | Ida B. Skinner | Clinical Nurse Specialist | 3615 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3783 | 2007-03-27 |
| 1972661338 | Julianna Tomlinson | Clinical Nurse Specialist | 2668 Montara Dr, Medford, OR 97504-2170 | 2006-12-05 |
| 1508924473 | Mary E. Resler | Clinical Nurse Specialist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2006-12-04 |
| 1861420655 | Linda M. White | Clinical Nurse Specialist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-06-29 |
| 1407894389 | Stephen Paul Patten | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-06-03 |
Please comment or provide details below to improve the information on MR. M. DENNIS SMITH.
| 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.