MARK CHRISTOPHER SMITH (NPI# 1912309238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912309238 |
| Entity Type | Individual |
| Full Name | MARK CHRISTOPHER SMITH |
| Credential | MSN, RN, AGACNP-BC |
| Practice Address |
3621 22nd St Ste 400 Lubbock TX 79410-1302 |
| Mailing Address |
3420 22nd Pl Lubbock TX 79410-1314 |
| Practice Telephone | 8097948484 |
| Practice Fax Number | 8067948498 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP126468 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8383NS | 01 |
| NM | 38225069 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| Street Address |
3621 22ND ST STE 400 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983464 | Andres Felipe Yepes Hurtado | Internal Medicine | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2009-06-29 |
| 1396359618 | David Tweed | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2020-09-03 |
| 1346882974 | Rachael Marie Polak | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1457993016 | Austin J Lawrence | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631227 | Nicholas Glenn Thrash | Nurse Practitioner | 3420 Milwaukee Ave Apt 733, Lubbock, TX 79407-3839 | 2019-10-18 |
| 1679070882 | Anitra Trinette Buckley | Nurse Practitioner | 3615 19th St Ste 162, Lubbock, TX 79410-1203 | 2018-04-12 |
| 1548662497 | Tracy Davis | Nurse Practitioner | 4000 22nd Pl Ste 100, Lubbock, TX 79410-1120 | 2014-09-23 |
| 1619270659 | Julia C Beaver | Nurse Practitioner | 3506 21st St Ste 507, Lubbock, TX 79410-1233 | 2010-12-14 |
| 1457965360 | Frances Greg Y Bordon | Nurse Practitioner | 3621 22nd St, Lubbock, TX 79410-1301 | 2020-09-08 |
| 1396359618 | David Tweed | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2020-09-03 |
| 1346882974 | Rachael Marie Polak | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1457993016 | Austin J Lawrence | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1043795347 | Brian Richard Honekamp | Nurse Practitioner | 3506 21st St Ste 602, Lubbock, TX 79410-1234 | 2018-10-02 |
| 1851842421 | Mandy Vanstory | Nurse Practitioner | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2016-10-19 |
| Find all providers in LUBBOCK | ||||
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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.