PETER JOSEPH SMITH SR.


Address: 950 E. 61st Street, Ssc, Suite 207, Chicago, IL 60637
Phone: 7737023095

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL 036106813 05

Other Providers PETER SMITH

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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

Office Location

Street Address 950 E. 61ST STREET
SSC, SUITE 207
City CHICAGO
State IL
Zip Code 60637

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60637

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Dataset Information

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.

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