TRACY ANN SMITH (NPI# 1902911449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902911449 |
| Entity Type | Individual |
| Full Name | TRACY ANN SMITH |
| Other Name | TRACY MESZAROS |
| Credential | PA-C |
| Practice Address |
4100 Lake Dr Se Ste 300 Grand Rapids MI 49546 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162678860 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003637 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681036 | Tracy Smith | In Home Supportive Care | 2400 Buffalo Gap Rd # 189, Abilene, TX 79605-6102 | 2020-08-25 |
| 1881236552 | Tracy Smith | Contractor | 1619 3rd Ave Se, Rochester, MN 55904-7945 | 2019-10-14 |
| 1619534013 | Tracy Erica Smith | Technician, Other | 1202 Glenview Dr, Mogadore, OH 44260-9581 | 2019-05-22 |
| 1346709011 | Tracy Cornelia Smith | Nurse Practitioner | 6104 Raleigh St Apt 1606, Orlando, FL 32835-2230 | 2019-03-13 |
| 1588135750 | Tracy Jo Smith | Voluntary or Charitable | 4259 N Williamston Rd, Williamston, MI 48895-9175 | 2018-12-16 |
| 1194222372 | Tracy Lynette Smith | Counselor | 55 Seargent Dr, Natchez, MS 39120-4782 | 2018-04-12 |
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1194273425 | Tracy Smith | Social Worker | 40 Daveitta Dr, Savannah, GA 31419-3155 | 2016-09-15 |
| 1265810410 | Tracy Dawn Smith | Counselor | 400 Bhrett Dr, Energy, IL 62933-3570 | 2015-05-08 |
| 1457789356 | Tracy L Smith | Behavioral Analyst | 10917 N Blackwelder Ave, Oklahoma City, OK 73120-7915 | 2013-10-31 |
| Street Address |
4100 LAKE DR SE STE 300 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439432 | Michael Lee Bills | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2005-10-04 |
| 1164064895 | Lorelle Joy Vanbeek | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2019-10-15 |
| 1558829051 | Jordan Taylor Friedrich | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2019-03-04 |
| 1548732381 | Erin Marie Willink | Nurse Practitioner | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2018-12-18 |
| 1003387655 | Vanessa Rae Smitko | Nurse Practitioner | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2018-12-07 |
| 1033608559 | Jenade Holloway | Specialist/Technologist | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2018-05-10 |
| 1831617497 | Alexandra Marquis Schumar | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2017-09-05 |
| 1508387093 | Megan Davis | Specialist/Technologist | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2017-07-05 |
| 1356707483 | Tsz Kit Kevin Chan | Orthopaedic Surgery | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2016-01-05 |
| 1033503594 | Jacob H Reisner | Physical Medicine & Rehabilitation | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2015-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839505 | Rachel Lauren Zokoe | Physician Assistant | 4024 Park East Ct Se Ste C, Grand Rapids, MI 49546-8810 | 2019-09-05 |
| 1689046187 | Emily Lauren Amato | Physician Assistant | 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506-4303 | 2015-10-22 |
| 1568864353 | Brittany L Babiak | Physician Assistant | 4362 Cascade Rd Se Ste 206, Grand Rapids, MI 49546-3670 | 2014-09-23 |
| 1760760037 | Cristian Rodriguez | Physician Assistant | 2155 Buchanan St Sw, Grand Rapids, MI 49507 | 2011-08-03 |
| 1851423750 | Barbara Ann Grinwis | Physician Assistant | 522 Leonard St Nw, Grand Rapids, MI 49504-4258 | 2007-03-09 |
| 1922170158 | Robin M Iknayan | Physician Assistant | 350 Lafayette Ave Se Fl 4, Grand Rapids, MI 49503-4656 | 2006-11-14 |
| 1043391154 | Marc Allen Bush | Physician Assistant | 100 Michigan St. Nw, Suite A721, Grand Rapids, MI 49503 | 2006-10-17 |
| 1437254430 | David Joseph Barney | Physician Assistant | 6690 Crossings Dr Se Ste C, Grand Rapids, MI 49508 | 2006-09-14 |
| 1144232505 | Robert W Schmitt | Physician Assistant | 3260 Eagle Park Dr Ne Ste 115, Grand Rapids, MI 49525-4569 | 2006-08-13 |
| 1598775322 | Crystal A Dole | Physician Assistant | 2155 E Paris Ave Se Ste 210, Grand Rapids, MI 49546-6142 | 2006-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on TRACY ANN SMITH.
| 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.