DR. JEFFERY SMITH (NPI# 1982806923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982806923 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY SMITH |
| Credential | M.D. |
| Practice Address |
2307 La Porte Ave Suite 4 Valparaiso IN 46383-7028 |
| Mailing Address |
8219 Wicker Ave. St. John IN 46373-8878 |
| Practice Telephone | 2195105623 |
| Practice Fax Number | 2192863965 |
| Mailing Telephone | 2196273315 |
| Mailing Fax Number | 2196273316 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01030268A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167401 | Jeffery Dan Smith | Pharmacist | 146 West 200 South, Kamas, UT 84036 | 2017-07-20 |
| 1497197669 | Jeffery Smith | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-07-29 |
| 1851659908 | Jeffery Kenneth Smith | Physical Therapist | 8002 Waldorf Ct, Orlando, FL 32817-1586 | 2012-04-26 |
| 1982730339 | Jeffery Owen Smith | Pharmacist | 3020 E Main St, Lot V-120, Mesa, AZ 85213-9488 | 2007-02-27 |
| 1215957105 | Jeffery William Smith | Dentist | 630 Woods Creek Dr, Sonora, CA 95370-4817 | 2006-07-20 |
| 1861961153 | Jeffery Michael Smith | Physician Assistant | 441 S Redwood Rd, Slc, UT 84104-3539 | 2018-11-16 |
| 1063913648 | Jeffery David Smith | Occupational Therapist | 1255 W Silverbell Rd, Lake Orion, MI 48359-1345 | 2018-02-28 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1902101207 | Jeffery Dee Smith | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2011-01-18 |
| 1740497742 | Jeffery Craig Smith | Counselor | 11-21 Broadway, Gloversville, NY 12078 | 2007-05-17 |
| Street Address |
2307 LA PORTE AVE SUITE 4 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-7028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| 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 |
|---|---|---|---|---|
| 1710435094 | Mid-america Mental Health LLC | Family Medicine | 402 Wall St., Ste 23, Valparaiso, IN 46383-2567 | 2016-09-15 |
| 1265826887 | Gerald Ronneau | Family Medicine | 92 E 700 N, Valparaiso, IN 46383-8908 | 2015-03-20 |
| 1427477413 | Christopher Michael Osan | Family Medicine | 3800 Saint Mary Rd Ste 205, Valparaiso, IN 46383-3986 | 2014-04-07 |
| 1578790481 | Bernadette A Obmaces | Family Medicine | 3800 St Mary Dr, Suite 204, Valparaiso, IN 46383-7502 | 2009-06-18 |
| 1770748717 | Derek Scott Gasper | Family Medicine | 1101 Glendale Blvd Ste 102a, Valparaiso, IN 46383-3767 | 2008-07-18 |
| 1093937963 | Emerald Coast Family Medicine Inc | Family Medicine | 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 | 2007-05-02 |
| 1770518664 | Sudhakar Garlapati | Family Medicine | 401 Wall St, Valparaiso, IN 46383-2521 | 2006-07-11 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1174562656 | Joel Mark Schumacher | Family Medicine | 1105 Cumberland Xing, Valparaiso, IN 46383-2356 | 2006-06-06 |
| 1255384855 | Tikiri Ratnayake | Family Medicine | 1910 Calumet Ave, Valparaiso, IN 46383-2704 | 2006-05-18 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on DR. JEFFERY 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.