MARK A SMITH (NPI# 1972675387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972675387 |
| Entity Type | Individual |
| Full Name | MARK A SMITH |
| Credential | PA-C |
| Practice Address |
988095 Nebraska Medical Ctr Omaha NE 68198-8095 |
| Practice Telephone | 4025598662 |
| Practice Fax Number | 4025599840 |
| Mailing Telephone | 4025598662 |
| Mailing Fax Number | 4025599840 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA2869 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
686 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 949901 | 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 |
988095 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295856 | Ivan G Abdouch | Family Medicine | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2006-04-18 |
| 1245493832 | Paul R Spence | Pathology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2008-07-03 |
| 1003089269 | Sharon K Baker | Clinical Nurse Specialist | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2008-04-09 |
| 1962687137 | Margaret M Gound | Nurse Practitioner | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2008-01-07 |
| 1265614325 | John D Shepherd | Ophthalmology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-11-30 |
| 1558559674 | James R Newland | Pathology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-10-15 |
| 1316165145 | Summer L Whaley-hull | Physician Assistant | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-04-24 |
| 1972623882 | Sylvia Ziegenbein | Obstetrics & Gynecology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-04-02 |
| 1164549523 | Manjula G Ananthram | Internal Medicine | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-03-23 |
| 1700921772 | Temple S Rucker | Radiology | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
| 1700936978 | Christina M Jensen | Physician Assistant | 7710 Mercy Rd Ste 502, Omaha, NE 68124-2346 | 2007-01-11 |
| 1104984772 | Diana R Lundquist | Physician Assistant | 7815 Farnam Dr, Children's Home Healthcare's World, Omaha, NE 68114-4564 | 2006-12-05 |
| 1528153863 | Mary Patricia Byam-smith | Physician Assistant | 1620 S 198th Ave, Omaha, NE 68130 | 2006-10-03 |
| 1386651172 | Connie L Anderson | Physician Assistant | 105 N 31st Ave, Ste 102, Omaha, NE 68131-2940 | 2006-08-02 |
| 1194731869 | Margaret Alice Antley | Physician Assistant | 710 S 17th St, Omaha, NE 68102-3108 | 2006-08-01 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
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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.