MARK GERARD SMITH


Address: 225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956
Phone: 5737789348

MARK GERARD SMITH (NPI# 1730586777) 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) 1730586777
Entity Type Individual
Full Name MARK GERARD SMITH
Credential DPT
Practice Address 225 Physicians Park
Suite 101
Poplar Bluff
MO 63901-3956
Mailing Address 4273 Keaton Crossing Blvd
O Fallon
MO 63368-8220
Practice Telephone 5737789348
Practice Fax Number 5736864870
Mailing Telephone 6362064225
Mailing Fax Number 6364221051
Enumeration Date 2014-11-19
Last Update Date 2019-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
2014039475 MO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MARK SMITH

NPI Name Taxonomy Address Enumeration
1871025668 Mark Robert Smith Physical Therapist 11448 Princessa Ln, Jacksonville, FL 32218-4054 2017-03-30
1982148565 Mark Smith Jr. Pharmacist 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 2016-12-15
1396124558 Mark Andrew Smith Physical Therapist 125 S Mcdaniel Dr, Auburn, CA 95603-5742 2015-05-21
1760875181 Mark Smith Case Manager/Care Coordinator 4028 Knollton Rd, Indianapolis, IN 46228-3332 2015-03-09
1366833154 Mark James Smith Pharmacist 2627 Oneida St, Utica, NY 13501-6332 2015-02-15
1568869824 Mark Smith Occupational Therapy Assistant 1160 Old State Rd, New Castle, PA 16101-6417 2014-12-01
1992128581 Mark Harrison Smith Case Manager/Care Coordinator 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 2014-02-03
1881967263 Mark Steven Smith Dentist 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 2012-02-16
1225328768 Mark W Smith Counselor 2619 W. 6th St, Suite C, Lawrence, KS 66049 2011-04-18
1053628271 Mark Thomas Smith Optometrist 592 Main St N, Mc Kenzie, TN 38201-1707 2010-09-09

Office Location

Street Address 225 PHYSICIANS PARK
SUITE 101
City POPLAR BLUFF
State MO
Zip Code 63901-3956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710965371 Gilbert D Smith Family Medicine 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 2006-01-04
1376008334 Zachary L Ferguson Physician Assistant 225 Physicians Park, Poplar Bluff, MO 63901-3935 2019-02-04
1316486202 Vanessa Adams Nurse Practitioner 225 Physicians Park, Ste 203, Poplar Bluff, MO 63901-3935 2017-02-13
1134589625 Ssm Neurosciences, Inc. Neurological Surgery 225 Physicians Park, Suite 102, Poplar Bluff, MO 63901-3935 2016-02-26
1275991861 Southern Care and Comfort In Home Agency, LLC In Home Supportive Care 225 Physicians Park, Suite 301, Poplar Bluff, MO 63901-3935 2016-02-10
1215305941 Christian Bowers Nurse Practitioner 225 Physicians Park, Suites 400 & 104, Poplar Bluff, MO 63901-3935 2015-09-11
1689096919 Saint Francis Medical Center Internal Medicine 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 2014-01-06
1386998318 Black River Medical Group, LLC Surgery 225 Physicians Park, Suite 204, Poplar Bluff, MO 63901-3956 2012-10-29
1609157403 Joyce A Barklow Nurse Practitioner 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3956 2011-09-07
1265712780 Amber Wheeler Richardson Psychologist 225 Physicians Park, Ste 300, Poplar Bluff, MO 63901-3930 2011-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076701 Alternative Sleep Solution Dentist 2700 Kanell Blvd., Poplar Bluff, MO 63901 2020-09-04
1285271239 Front Door Wellness LLC Physical Therapist Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 2019-12-09
1104470368 Andrew Akindutire Dentist 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 2019-07-26
1780195966 Midwest Equipment Srv Systems LLC Technician, Pathology 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
1801259387 Richard Justin Huber Technician, Other 3005 Warrior Ln, Poplar Bluff, MO 63901 2016-04-01
1699136275 Donja Kirkland Recreation Therapist 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 2016-03-10
1760866867 Bio-medical Applications of Missouri, Inc. Clinic/Center 3050 Tucker Road, Poplar Bluff, MO 63901 2015-07-17
1407246390 Lisa Marie Payne Physical Therapist 4358c Highway Pp, Poplar Bluff, MO 63901 2015-01-29
1700202488 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1602 W. Harper Street, Poplar Bluff, MO 63901 2014-03-05
1932521648 Essential Family Healthcare, LLC Clinic/Center 1369 North Westwood Blvd., Poplar Bluff, MO 63901 2014-01-15
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922605591 Brendan Lee Thompson Physical Therapist 8356 Musick Memorial Dr, Saint Louis, MO 63144-2914 2020-10-06
1295349520 Katie Bader Physical Therapist 118 Richardson Xing, Arnold, MO 63010-6023 2020-09-03
1801419601 Junction Bracing & Pt Physical Therapist 4924d Sean Drive, Imperial, MO 63052 2020-05-27
1922629260 Larry Dean Skeen Jr. Physical Therapist 1245 Banning Street, Marshfield, MO 65706 2020-04-28
1124656574 Richard Dean Maas Physical Therapist 2230 W Sunset St, Springfield, MO 65807-5980 2020-03-31
1063059780 Adam Sparks Physical Therapist 722 N State Highway 47 Ste A, Warrenton, MO 63383-1108 2019-12-01
1366928350 Jeffrey D Bundrick Physical Therapist Whiteman Air Force Base, Knob Noster, MO 65305 2018-07-13
1982125944 Zachary T Winchester Physical Therapist 3860 Vogel Rd, Arnold, MO 63010-3776 2017-06-29
1639618457 Brittany Hogan Physical Therapist 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 2017-02-13
1003271487 Scott Lawrence Jones Physical Therapist 912 W 78th St, Kansas City, MO 64114-1761 2015-12-29
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Competitor

Search similar providers

City POPLAR BLUFF
Zip Code 63901

Improve Information

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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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