Michelle Marilyn Smith (NPI# 1033602909, PAC ID# 2466704457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033602909 |
| PAC ID by PECOS | 2466704457 |
| Professional Enrollment ID | I20181002001821 |
| Full Name | Michelle Marilyn Smith |
| Organization Legal Name | JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS |
| Address |
5716 Cleveland St Suite 200 Virginia Beach VA 23462-1784 |
| Phone Number | 7575028583 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042118655 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490044 | SENTARA OBICI HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 7575028583 | JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS |
| Organization Legal Name | JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Robinson | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Elizabeth Runzo | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Nicholas A Midis | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| James E Dowd | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Kara P Hood | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Justin W Griffin | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Megan L Hare | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Sara Alice Tyszko | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Sean B Wren | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Michael A Livoti | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Street Address |
5716 CLEVELAND ST SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23462-1784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Robinson | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Elizabeth Runzo | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Nicholas A Midis | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| James E Dowd | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Kara P Hood | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Justin W Griffin | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Megan L Hare | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Sara Alice Tyszko | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Sean B Wren | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Michael A Livoti | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Hudson | Internal Medicine | 802 Newtown Rd, Virginia Beach, VA 23462-1116 | |
| Tiffany R Dicenso | Nurse Practitioner | Tidewater Integrative Health PC | 802 Newtown Rd, Virginia Beach, VA 23462-1116 |
| Dau T Le | Internal Medicine | 5441 Virginia Beach Blvd, Suite 111, Virginia Beach, VA 23462-1749 | |
| Joseph S Gondusky | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Lance B Davlin | Hand Surgery | Sentara Medical Group | 5716 Cleveland St, Suite 210, Virginia Beach, VA 23462-1784 |
| Louis C Jordan | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Kevin F Bonner | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Jeffrey J Laurent | Neurosurgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Linda Hume | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| David A Vincent | Neurosurgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Find all physicians in zip 23462 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VIRGINIA BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle Marilyn Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.