DR. LINDA MARIE SMITH (NPI# 1821047192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821047192 |
| Entity Type | Individual |
| Full Name | DR. LINDA MARIE SMITH |
| Credential | M.D. |
| Practice Address |
1900 Woodland Dr Coos Bay OR 97420-2045 |
| Practice Telephone | 5412675151 |
| Practice Fax Number | 5412664546 |
| Mailing Telephone | 5412675151 |
| Mailing Fax Number | 5412664546 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD171858 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 81023 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NORTH BEND MEDICAL CENTER GROUP MEDICARE | R0000WFBTV | 01 |
| OR | 500687896 | 05 | |
| OR | NORTH BEND MEDICAL CENTER GROUP MEDICAID | 161133 | 01 |
| OR | NORTH BEND MEDICAL CENTER GROUP NPI | 1407812365 | 01 |
| OR | NORTH BEND MEDICAL CENTER GROUP TAX ID | 93-0635514 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857966 | Linda Smith | In Home Supportive Care | 8118 Lianna Dr, Orlando, FL 32822-7761 | 2020-10-07 |
| 1639726268 | Linda Pearl Smith | Counselor | 185 S Kimball Ave Ste 100, Southlake, TX 76092-1524 | 2019-08-19 |
| 1114432853 | Linda Mae Smith | Registered Nurse | 5620 Ames Ave., Omaha, NE 68104-2702 | 2017-12-04 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1407396898 | Linda Smith | Home Health Aide | 720 Woodland Ave, Toledo, OH 43604-8068 | 2017-03-03 |
| 1730542895 | Linda Smith | Licensed Practical Nurse | 943 Blenheim Rd, Columbus, OH 43224-2620 | 2016-04-05 |
| 1376918045 | Linda Smith | Registered Nurse | 206 Hoover Ave, Kenmore, NY 14217-2520 | 2015-12-07 |
| 1770995953 | Linda Smith | Licensed Practical Nurse | 151 Razorback Ln, Walhalla, SC 29691-1624 | 2014-05-22 |
| 1053738716 | Linda Walton Smith | Counselor | 434 Union Church Rd, Seminary, MS 39479-4367 | 2014-03-19 |
| 1801227319 | Linda Smith | Behavioral Analyst | 2502 E 23rd St, Tucson, AZ 85713-2032 | 2013-12-09 |
| Street Address |
1900 WOODLAND DR |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517528 | Mary Irene Hernandez | Physical Therapist | 1900 Woodland Dr, Coos Bay, OR 97420 | 2005-08-31 |
| 1477189009 | Sandy Lynn Teeter | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2020-03-16 |
| 1114564630 | Mitaliben Rajendrakumar Gor | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-12-03 |
| 1568014942 | Nikkona Henderson | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2019-07-15 |
| 1861050189 | James Murray | Dermatology | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-06-01 |
| 1346803640 | Sophia Elizabeth Massey | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-04-22 |
| 1750857090 | Alaina Therese Hendrix | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-10-14 |
| 1801382155 | Yulia Viktorovna Whidden | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-07-10 |
| 1124525043 | Samantha Decker | Dermatology | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-04-07 |
| 1043712383 | Gregory Sopka | Physician Assistant | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| 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 |
|---|---|---|---|---|
| 1477501815 | Roger Cecil Willis | Family Medicine | 600 Miluk Drive, Coos Bay, OR 97420 | 2006-05-05 |
| 1518941350 | Robert William Gerber | Family Medicine | 2690 N 17th St, Coos Bay, OR 97420 | 2005-12-05 |
| 1295245108 | Davina Lynn Bledsoe | Family Medicine | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2017-10-05 |
| 1891170502 | Alyssa Sader | Family Medicine | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2015-07-23 |
| 1275962581 | Craig Jackson | Family Medicine | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2013-11-06 |
| 1447538533 | Samir Bir Ale | Family Medicine | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2011-07-24 |
| 1831342773 | Eduardo Erasto Santiago Ongkeko | Family Medicine | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2008-10-23 |
| 1932216751 | James Alan Maddox | Family Medicine | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2006-08-25 |
| 1184638124 | Jennifer Laurel Webster | Family Medicine | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2006-07-27 |
| 1083684773 | Celeste Blanken | Family Medicine | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2006-01-25 |
| Find all providers in COOS BAY | ||||
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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.