Angela R Smith (NPI# 1356817589, PAC ID# 8426392937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356817589 |
| PAC ID by PECOS | 8426392937 |
| Professional Enrollment ID | I20181210001530 |
| Full Name | Angela R Smith |
| Organization Legal Name | SGOH ACQUISITION INC |
| Address |
125 Main St Noel MO 64854-9124 |
| Phone Number | 4174756151 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092616276 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041331 | OZARKS COMMUNITY HOSPITAL OF GRAVETTE |
| Address | Phone | Organization |
|---|---|---|
| 125 Main St, Noel, MO 64854-9124 | 4174756151 | SGOH ACQUISITION INC |
| 109 N Broadway St, South West City, MO 64863-9417 | 4177623287 | SGOH ACQUISITION INC |
| Organization Legal Name | SGOH ACQUISITION INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kristina Chance | Clinical Social Worker | Sgoh Acquisition Inc | 2485 N Main St, Och Jay Family Clinic, Jay, OK 74346-2201 |
| Audrey Anne Hubler | Nurse Practitioner | Sgoh Acquisition Inc | 109 N Broadway St, South West City, MO 64863-9417 |
| Tara N Loveland | Nurse Practitioner | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
| Amberlyn Casie Logan | Nurse Practitioner | Sgoh Acquisition Inc | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 |
| Thomas E Dahlberg | Family Medicine | Sgoh Acquisition Inc | 101 S Main St, Rogersville, MO 65742-9357 |
| William J Howitt | Family Medicine | Sgoh Acquisition Inc | 1540 E Evergreen St, Springfield, MO 65803-4300 |
| William Mckay | Family Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
| Charles Watt | Geriatric Medicine | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
| Dennis Dobard | Psychiatry | Sgoh Acquisition Inc | 2828 N National Ave, Springfield, MO 65803-4306 |
| Jackie S Beene | Family Medicine | Sgoh Acquisition Inc | 112 N Webb St, Webb City, MO 64870-1916 |
| Street Address |
125 MAIN ST |
| City | NOEL |
| State | MO |
| Zip | 64854-9124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barnett T Schrier | Optometry | 125 Main St, Stony Brook, NY 11790-1911 | |
| Lori C Baldanza | Nurse Practitioner | Mary Imogene Bassett Hospital | 125 Main St, Oneonta, NY 13820-2507 |
| Maria F Enix | Clinical Social Worker | 125 Main St, Suite 504, Bradford, PA 16701-2057 | |
| Derrick J Hamilton | Internal Medicine | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Jenny Faye Mullins | Family Medicine | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Jacqueline J Littzi | Ophthalmology | 125 Main St, New Canaan, CT 06840-5507 | |
| Samantha Lewis | Nurse Practitioner | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Alan Schwartz | Clinical Social Worker | 125 Main St, Suite 3, Springfield, MA 01105-2416 | |
| Lawrence E Addison Jr. | Optometry | Shopko Stores Operating Co LLC | 125 Main St, Hutchinson, MN 55350-2654 |
| Andrea M Lloyd | Optometry | Shopko Stores Operating Co LLC | 125 Main St, Hutchinson, MN 55350-2654 |
| Find all physicians in the same address | |||
| City | NOEL |
| Zip Code | 64854 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NOEL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela R 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.