MR. MICHEAL SMITH (NPI# 1811945629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811945629 |
| Entity Type | Individual |
| Full Name | MR. MICHEAL SMITH |
| Credential | PA |
| Practice Address |
8110 Timberlake Way Sacramento CA 95823-5401 |
| Practice Telephone | 9166885837 |
| Practice Fax Number | 9166896620 |
| Mailing Telephone | 9166885837 |
| Mailing Fax Number | 9166896620 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
14393 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346513363 | Micheal Frances Smith | Marriage & Family Therapist | 2021 Sperry Avenue, Suite 22, Ventura, CA 93003 | 2012-02-22 |
| 1487619011 | Micheal Robert Smith | Internal Medicine | 8000 5 Mile Rd, Cincinnati, OH 45230-2163 | 2006-04-18 |
| Street Address |
8110 TIMBERLAKE WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490286 | David L Kosh | Family Medicine | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2005-07-09 |
| 1699335026 | Nicole Sue Hall | Physician Assistant | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2019-06-18 |
| 1508322462 | Charlotte Johnson | Nurse Practitioner | 8110 Timberlake Way, Sacramento, CA 95823 | 2019-02-15 |
| 1356843262 | Brittany Marie Husein | Behavioral Analyst | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2018-03-07 |
| 1053788323 | Olga Bealessio | Nurse Practitioner | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2015-08-21 |
| 1386028363 | Amanda Villani | Nurse Practitioner | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2015-07-19 |
| 1053709550 | Sue Duong | Nurse Practitioner | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2015-01-06 |
| 1962823781 | Associated Family Physicians Inc | Non-Pharmacy Dispensing Site | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2013-12-20 |
| 1417200684 | Dione Marcia Cole | Nurse Practitioner | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2012-10-24 |
| 1376846527 | Devonne Annette Ortiz | Nurse Practitioner | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.