Courtney Michelle Smith (NPI# 1477512606, PAC ID# 3678506524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477512606 |
| PAC ID by PECOS | 3678506524 |
| Professional Enrollment ID | I20071127000068 |
| Full Name | Courtney Michelle Smith |
| Organization Legal Name | MIDWEST RADIOLOGY PA |
| Address |
250 Thompson St Saint Paul MN 55102-2370 |
| Phone Number | 6512976504 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486568482 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240106 | REGIONS HOSPITAL |
| 240038 | ALLINA UNITED HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512976504 | MIDWEST RADIOLOGY PA |
| Organization Legal Name | MIDWEST RADIOLOGY PA |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas B Ludeman | Diagnostic Radiology | Midwest Radiology Pa | 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 |
| Cherie S Nienow | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Azhar T Ali | Diagnostic Radiology | Midwest Radiology Pa | 927 Churchhill St W, Stillwater, MN 55082-6605 |
| Jorge A Leon | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| John P Knoedler | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Kristin A Lieberman | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Tiffany June Mellang | Physician Assistant | Midwest Radiology Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Andrew S Hartigan | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Keith H Wittenberg | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Leif E Jensen | Diagnostic Radiology | Midwest Radiology Pa | 225 Scholl Ct, Amery, WI 54001-1292 |
| Street Address |
250 THOMPSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherie S Nienow | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Amanda K Keogh | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Megan M Ellingson | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Adam B Jeffers | Diagnostic Radiology | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Peter C Conklin | Diagnostic Radiology | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Adrienne Vargo | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Brenda L Deutsch | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Jeffrey P Lassig | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Mark Henry Bechtel | Diagnostic Radiology | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Sandra J Bartz | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT PAUL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Courtney Michelle 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.