DR. SAMUEL R SMITH (NPI# 1649226309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226309 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL R SMITH |
| Credential | DC |
| Practice Address |
279 West Main Street #8 Middletown PA 17057-1222 |
| Practice Telephone | 7179440004 |
| Practice Fax Number | 7179447710 |
| Mailing Telephone | 7179440004 |
| Mailing Fax Number | 7179447710 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC1776L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA PPO - AETNA HMO | 5704220604120 | 01 |
| PA | CAPITAL BLUE CROSS | 02441400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487124376 | Samuel Smith | Occupational Therapist | 174 S Freeport Rd Ste 1a, Freeport, ME 04032-6160 | 2018-12-04 |
| 1922527191 | Samuel Maria Smith | Chiropractor | 1012 Poly Dr, Billings, MT 59102-1832 | 2017-09-19 |
| 1073967949 | Samuel Henry Smith | Student in an Organized Health Care Education/Training Program | Universuty of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2016-04-18 |
| 1285805846 | Samuel Bardwell Smith | Psychologist | 1279 Linda Mar Shopping Ctr, Suite 112, Pacifica, CA 94044-3347 | 2008-03-21 |
| 1588873624 | Samuel L Smith | Chiropractor | 7743 E Broadway Blvd, Tucson, AZ 85710-3941 | 2007-05-22 |
| 1215076518 | Samuel Goodale Smith | Obstetrics & Gynecology | 307 Noble Faire Dr, Sun City Center, FL 33573-6432 | 2007-02-05 |
| 1841363132 | Samuel M Smith | Anesthesiology | 975 E Third S, Chattanooga, TN 37403-2147 | 2006-11-16 |
| 1770671109 | Samuel Madison Smith Jr. | Dentist | 1519 East Mccord, Centralia, IL 62801 | 2006-10-11 |
| 1013920313 | Samuel G. Smith | Dentist | 1541 S. Times Square, Boise, ID 83709 | 2006-08-15 |
| 1962018986 | Samuel Smith | Physical Therapist | 272 Highland Drive, Lebanon, VA 24266 | 2020-09-16 |
| Street Address |
279 WEST MAIN STREET #8 |
| City | MIDDLETOWN |
| State | PA |
| Zip Code | 17057-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388105 | Jeffrey Giovino | Driver | 3265 Fulling Mill Road, Middletown, PA 17057 | 2016-10-27 |
| 1619330123 | David I Shatto Jr. | Pharmacist | 1581 Woodridge Drive, Middletown, PA 17057 | 2016-04-01 |
| 1528440344 | Alexis Rose Falcone | Occupational Therapist | 1020 N. Union Street, Middletown, PA 17057 | 2015-06-29 |
| 1477992329 | Melinda Ann Ramberger | Physical Therapy Assistant | 1020 North Union St, Middletown, PA 17057 | 2013-06-24 |
| 1700906963 | Londonderry Fire Company No.1 | Ambulance | 2655 Foxianna Road, Middletown, PA 17057 | 2007-03-30 |
| 1780711333 | Bruce S Bashline D.o. Inc. | Family Medicine | 1100 Spring Garden Drive, Middletown, PA 17057 | 2007-02-28 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1518065242 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1565 Wharrisburg Pk, Middletown, PA 17057 | 2006-09-20 |
| 1235242512 | Andrew V Welkie | Dentist | 244 Adelia St, Middletown, PA 17057 | 2006-08-17 |
| 1790757094 | Gregory Albert Anoia Sr. | Optometrist | 120 West Water Street, Box 160, Middletown, PA 17057 | 2006-02-02 |
| Find all providers in zip 17057 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382906 | Pure Wellness of Middletown, LLC | Chiropractor | 708 Ash Blvd, Middletown, DE 19709-8871 | 2018-07-13 |
| 1801394804 | Chiropractic Wellness of Middletown, P.C. | Chiropractor | 201 Dolson Ave Ste H100, Middletown, NY 10940 | 2018-01-25 |
| 1083123079 | Gudrun Maria Thunman | Chiropractor | 145 Prospect Ave, Middletown, RI 02842-5605 | 2017-09-22 |
| 1306268214 | Elizabeth Tamminga | Chiropractor | 12334 Shelbyville Rd, Middletown, KY 40243-1471 | 2014-01-11 |
| 1063853331 | Zachary Patterson | Chiropractor | 400 Quincy Ave, Middletown, DE 19709-8367 | 2013-07-15 |
| 1912246216 | Jack R. Dugo, Jr., D.c., LLC | Chiropractor | 20 Cherry Tree Farm Rd, Middletown, NJ 07748-2251 | 2013-02-06 |
| 1386919520 | Robert W Grace | Chiropractor | 88 Valley Rd, Middletown, RI 02842-5237 | 2012-03-21 |
| 1588947790 | Logullo Chiropractic Wellness Center Pa | Chiropractor | 600 N Broad St Ste 19, Middletown, DE 19709-1032 | 2011-09-23 |
| 1790010403 | Laura K Cruz | Chiropractor | 19 Rondack Rd, Middletown, NY 10941-1622 | 2009-10-14 |
| 1184856668 | Middletown Chiropractic and Rehabilitation Center | Chiropractor | 2714 N Verity Pkwy, Middletown, OH 45042-2408 | 2009-08-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 17057 |
Please comment or provide details below to improve the information on DR. SAMUEL R 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.