CHRISTOPHER LEE SMITH (NPI# 1780062646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780062646 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER LEE SMITH |
| Credential | DO |
| Practice Address |
820 Prudential Dr Ste 713 Jacksonville FL 32207-8209 |
| Practice Telephone | 9043965682 |
| Mailing Telephone | 9043965682 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS14739 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6500 38th Ave N, St Petersburg, FL 337101629 | 7273414819 | 7273414886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173934 | Christopher Smith | Orthotist | 315 Jefferson St Ne, Olympia, WA 98501-1123 | 2020-10-27 |
| 1003421512 | Christopher M Smith | Technician | 151 E Piedmont St, Keyser, WV 26726-3136 | 2020-09-11 |
| 1851918197 | Christopher Smith | Massage Therapist | 5125 W Broad St, Columbus, OH 43228-1689 | 2020-07-02 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1972136596 | Christopher Nigel Smith | Registered Nurse | 5880 Sw 74th Ter Apt T6a, South Miami, FL 33143-5263 | 2020-02-21 |
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1104383835 | Christopher Smith | Occupational Therapy Assistant | 1714 Fm 2496 W, Mt Enterprise, TX 75681-5035 | 2019-02-28 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1144724477 | Christopher Morgan Smith | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave Rm 762, New Orleans, LA 70112-2865 | 2018-03-21 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| Street Address |
820 PRUDENTIAL DR STE 713 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811951684 | David S Ross | Emergency Medicine | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2006-04-17 |
| 1992273577 | Courtney Marie Sipes | Nurse Practitioner | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2018-11-13 |
| 1093281222 | Devin R Whitlock | Physician Assistant | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2018-10-15 |
| 1023583317 | Sabrina M Ryan | Nurse Practitioner | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2018-10-12 |
| 1639650211 | Stephanie Shoults | Physician Assistant | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2018-08-22 |
| 1023501418 | April Dawn Clay | Nurse Practitioner | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2018-06-11 |
| 1922456201 | Douglas Tyler Clare | Emergency Medicine | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2016-05-27 |
| 1023403292 | Stephanie Agely | Emergency Medicine | 820 Prudential Dr Ste 713, Jacksonville, FL 32207 | 2015-04-03 |
| 1194166215 | Zachary Wilkerson | Emergency Medicine | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2013-07-17 |
| 1356684807 | Kevin Gysling | Emergency Medicine | 820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.