JASON C SMITH (NPI# 1790309565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790309565 |
| Entity Type | Individual |
| Full Name | JASON C SMITH |
| Credential | IDC |
| Practice Address |
113 Barrington Ct Maple Hill NC 28454-8659 |
| Practice Telephone | 2059082066 |
| Mailing Telephone | 2059082066 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED STATES NAVY | 1290344375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874250 | Jason Joseph Smith | Nurse Practitioner | 60 Meadowlark Dr, Penfield, NY 14526-2036 | 2020-06-08 |
| 1033695564 | Jason Smith | Nurse Practitioner | 413 Sanner St, Edwardsville, IL 62025-1080 | 2018-07-18 |
| 1619335429 | Jason Smith | Social Worker | 1025 Se 23rd St, Okeechobee, FL 34974-5362 | 2016-02-08 |
| 1013374289 | Jason Smith | Physical Therapy Assistant | 960 S Logan St Apt 101, Denver, CO 80209-4148 | 2016-01-19 |
| 1902273394 | Jason Richard Smith | Physical Therapist | 300 E College Way Ste B, Mount Vernon, WA 98273-5429 | 2015-09-01 |
| 1083006670 | Jason T. Smith | Physician Assistant | 4419 Bearberry Ave, Baytown, TX 77521-1677 | 2015-02-19 |
| 1790183010 | Jason Smith | Technician | 19 Oracle Ct, Sacramento, CA 95823-4086 | 2014-12-18 |
| 1982016648 | Jason Smith | Student in an Organized Health Care Education/Training Program | 8809 Furlong Dr Apt 3, Louisville, KY 40242-7510 | 2014-05-28 |
| 1780016485 | Jason Smith | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-05 |
| 1801029772 | Jason C Smith | Marriage & Family Therapist | 111 S 1st St Ste 160, Madison, WI 53704-5246 | 2009-08-26 |
| Street Address |
113 BARRINGTON CT |
| City | MAPLE HILL |
| State | NC |
| Zip Code | 28454-8659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388219 | Black River Health Services Inc | Durable Medical Equipment & Medical Supplies | 4811 Hwy 50, Maple Hill, NC 28454 | 2005-09-30 |
| 1023354586 | Petronilo Marcelo Jr. | Military Health Care Provider | 2nd Medical Battalion Psc Box 20129, Camp Lejeune, NC 28454-0129 | 2013-01-02 |
| 1043763683 | Yamaya Respus | Specialist | 1145 Webbtown Rd, Maple Hill, NC 28454-8003 | 2016-08-01 |
| 1144451030 | Yoronda Arteciah Forde | Pharmacist | 4811 Nc Hwy 50, Maple Hill, NC 28454-8153 | 2009-07-27 |
| 1407843733 | James Grady Jones | Family Medicine | 4811 Nc Highway 50, Maple Hill Medical Center, Maple Hill, NC 28454-8153 | 2005-10-03 |
| 1134507775 | Black River Health | Durable Medical Equipment & Medical Supplies | 4811 Nc Highway 50, Maple Hill, NC 28454-8153 | 2015-05-15 |
| 1669871182 | Jennifer L. Givens | Nurse Practitioner | 4811 Nc Highway 50, Maple Hill, NC 28454-8153 | 2014-08-20 |
| 1134359516 | Keven Teresa Zibelin | Nurse Practitioner | 4811 Nc Highway 50, Maple Hill, NC 28454-8153 | 2009-07-21 |
| 1356339154 | Black River Health Services Inc | Clinic/Center | 4811 Nc Highway 50, Maple Hill, NC 28454-8153 | 2005-10-06 |
| 1902122534 | Legal Resource Service | Community/Behavioral Health | 8921 Nc Highway 50, Maple Hill, NC 28454-8237 | 2010-04-07 |
| Find all providers in zip 28454 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820002 | Levi Para | Military Health Care Provider | 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 | 2020-10-29 |
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1588274641 | Adam Randolph Smith | Military Health Care Provider | 205 Wintergreen Ln, Hubert, NC 28539-4659 | 2020-08-04 |
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE HILL |
| Zip Code | 28454 |
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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.