PETER JOSEPH SMITH SR. (NPI# 1720142995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720142995 |
Entity Type | Individual |
Full Name | PETER JOSEPH SMITH SR. |
Credential | MD, MA |
Practice Address |
950 E. 61st Street Ssc, Suite 207 Chicago IL 60637 |
Practice Telephone | 7737023095 |
Practice Fax Number | 7737020208 |
Mailing Telephone | 7737023095 |
Mailing Fax Number | 7737020208 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2013-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
036.106813 | IL | Allopathic & Osteopathic Physicians |
N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
036106813 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036106813 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878232 | Peter Thomas Curry Smith | In Home Supportive Care | 18679 Baker Rd, Mount Vernon, OH 43050-9586 | 2020-10-15 |
1386116663 | Peter Smith | Physical Therapist | 1450 E Fairview Ave Ste 201, Meridian, ID 83642-1819 | 2018-12-26 |
1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
1851784839 | Peter Allen Smith | Counselor | 2240 N Hwy 89, Suite C, Harrisville, UT 84404-2675 | 2015-03-14 |
1356782072 | Peter Michael Smith | Physician Assistant | 282 Cabrini Blvd, Apt. 2g, New York, NY 10040-3618 | 2013-07-10 |
1861837700 | Peter Smith | Physical Therapist | 1121 Fairfield Ave, Eugene, OR 97402-2026 | 2013-05-06 |
1508136706 | Peter J. Smith | Marriage & Family Therapist | 332 Redwood Ave, Willits, CA 95490-3333 | 2012-01-04 |
1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
1710152962 | Peter J Smith | Physician Assistant | 5715 Kittery Dr, Siute B, Colorado Springs, CO 80911-3552 | 2008-04-29 |
1285849778 | Peter Jordan Smith | Acupuncturist | 826 Shattuck Ave, Berkeley, CA 94707-2020 | 2007-05-10 |
Street Address |
950 E. 61ST STREET SSC, SUITE 207 |
City | CHICAGO |
State | IL |
Zip Code | 60637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720625601 | Shane Rafferty | Pediatrics | 4852 N Rockwell St Apt 2, Chicago, IL 60625-6521 | 2019-12-10 |
1376930750 | Prudence Hartwell | Pediatrics | 5841 S Maryland Ave # Mc0900, Chicago, IL 60637 | 2015-04-23 |
1942598891 | Sotiria E. Moschovis | Pediatrics | 6127 N. Leader Ave., Chicago, IL 60646 | 2011-07-13 |
1134644834 | Shevia Morris | Pediatrics | 5116 N Nordica Ave, Chicago, IL 60656-3606 | 2017-08-03 |
1982066957 | Maria Gabriela Balsa Guerrero | Pediatrics | 5841 S Maryland Ave # Mc8016, Chicago, IL 60637-1443 | 2016-03-28 |
1922484823 | Tanuja Kothinti | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637 | 2015-08-03 |
1831516962 | Charron Mckenzie Lewis | Pediatrics | 5841 S Maryland Ave # Mc8016, Chicago, IL 60637 | 2014-03-26 |
1174790745 | Sarah Courtney Bauer | Pediatrics | 225 E Chicago Ave, Box 2, Chicago, IL 60611-2605 | 2008-05-13 |
1194990705 | Karin Elizabeth Vander Ploeg Booth | Pediatrics | 950 E 61st St, Section of Dbp Ssc Room 207, Chicago, IL 60637-2623 | 2008-04-24 |
1659421691 | Lawrence A Gray | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2007-01-11 |
Find all providers in CHICAGO |
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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.