JEREMY D SMITH (NPI# 1629011952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629011952 |
| Entity Type | Individual |
| Full Name | JEREMY D SMITH |
| Credential | MD |
| Practice Address |
1111 Elmwood Ave Rochester NY 14620-3005 |
| Practice Telephone | 5852411757 |
| Mailing Telephone | 5852411757 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 231633-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
231633-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02673701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990622 | Jeremy Smith | Pharmacist | 21 Hampton Ct, Lancaster, NY 14086-9422 | 2016-05-17 |
| 1023478468 | Jeremy Smith | Physician Assistant | 3310 Runnels St, Fort Worth, TX 76106-6421 | 2016-02-27 |
| 1326381146 | Jeremy Smith | Counselor | 3201 Pioneers Blvd Ste 222, Lincoln, NE 68502-5963 | 2013-03-29 |
| 1609154244 | Jeremy Smith | Physical Therapist | 704 S Northwest Hwy, Barrington, IL 60010-4620 | 2011-08-01 |
| 1992004451 | Jeremy Clinton Smith | Dietitian, Registered | 304 Blaine Ave, Cloquet, MN 55720-1202 | 2011-03-23 |
| 1568784106 | Jeremy David Smith | Pharmacist | 1266 Nw Broad St, Murfreesboro, TN 37129-1713 | 2010-02-24 |
| 1184830812 | Jeremy Smith | Physical Therapist | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2007-05-16 |
| 1154463255 | Jeremy Vanloring Smith | Optometrist | 202 W Pleasant St, Cynthiana, KY 41031-1434 | 2007-02-13 |
| 1891844312 | Jeremy James Smith | Dentist | 4310 Medical Parkway, Suite 203, Austin, TX 78756 | 2007-01-10 |
| 1033204821 | Jeremy Robert Smith | Dentist | 4355 Suwanee Dam Rd, Suwanee, GA 30024-6707 | 2006-10-04 |
| Street Address |
1111 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867320 | Leslie Shannon Fisher | Dietitian, Registered | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-09-25 |
| 1679195762 | Abigail Farchione | Dietitian, Registered | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-05-12 |
| 1790315703 | Jacqueline Anne Germano | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-01-17 |
| 1326686676 | Claudia Patrice Walker-lewis | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-12-17 |
| 1659918845 | Joshua David Redman | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-12-06 |
| 1548805823 | Shinee Mathews | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-11 |
| 1285278937 | Ronald Muscarella | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-05 |
| 1023652971 | Julie R. Hutchinson | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-04 |
| 1295379220 | Teresa Ann Shannon | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-02 |
| 1528602695 | Rebecca Lynn Ferguson | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083243182 | Blake Novy | Psychiatry & Neurology | 200 1st St Sw Dept Of, Rochester, MN 55905-0001 | 2020-04-02 |
| 1700319456 | Kristin Nguyen | Psychiatry & Neurology | 1301 W Center St, Rochester, MN 55902-0333 | 2017-04-10 |
| 1356728562 | Scott Breitinger | Psychiatry & Neurology | 200 1st Sw, Rochester, MN 55905-0001 | 2015-04-27 |
| 1841589512 | Allison L Giordano | Psychiatry & Neurology | 140 Allens Creek Rd Ste 200, Rochester, NY 14618-3307 | 2011-04-04 |
| 1659606499 | Robert Mark Morse | Psychiatry & Neurology | 1735 Hiawatha Ct Ne, Rochester, MN 55906-8014 | 2009-10-13 |
| 1831362078 | Teresa Mary Foley | Psychiatry & Neurology | 3900 55th St Nw, Rochester, MN 55901-0119 | 2008-04-09 |
| 1942406772 | Russell M Cain | Psychiatry & Neurology | 202 Roosevelt Rd, Rochester, NY 14618-2937 | 2007-06-27 |
| 1316152424 | Clifford Jacobson | Psychiatry & Neurology | 291 W Squire Dr Apt 5, Rochester, NY 14623-1740 | 2007-05-11 |
| 1366563363 | Rae Bernadette Insalaco | Psychiatry & Neurology | 2613 W. Henrietta Rd., Strong Ties, Rochester, NY 14623-2327 | 2007-04-03 |
| 1609929421 | Janet Gray Warner | Psychiatry & Neurology | 1101 W. University Dr, Rochester, MI 48307-1831 | 2007-01-18 |
| Find all providers in ROCHESTER | ||||
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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.