Shawn Smith (NPI# 1265084859, PAC ID# 8628309549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265084859 |
| PAC ID by PECOS | 8628309549 |
| Professional Enrollment ID | I20191008001076 |
| Full Name | Shawn Smith |
| Organization Legal Name | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
| Address |
8555 Taft St Merrillville IN 46410-6123 |
| Phone Number | 2197694005 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991600355 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150034 | ST MARY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 8555 Taft St, Merrillville, IN 46410-6123 | 2197694005 | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
| Organization Legal Name | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rene M Roberts | Family Medicine | Southlake Community Mental Health Center Inc | 527 State St, Hammond, IN 46320-1533 |
| Jared M Eaton | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 1441 E 84th Place, Regional Mental Health Center Merrillville Outpt, Merrillville, IN 46410-6451 |
| Amy N Bowman | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Jose L Ramirez | Psychiatry | Southlake Community Mental Health Center Inc | 2600 Hwy Ave, Highland, IN 46322-1613 |
| Sujittra Niyakorn | Family Medicine | Southlake Community Mental Health Center Inc | 4016 Hohman Ave, Hammond, IN 46327-1239 |
| Prakash Varghese | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Joan A Wolford | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Lynn A Smith | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Deborah A Thompson | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Patti J Leahy | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Street Address |
8555 TAFT ST |
| City | MERRILLVILLE |
| State | IN |
| Zip | 46410-6123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N Bowman | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Joan A Wolford | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Lynn A Smith | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Deborah A Thompson | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Patti J Leahy | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Winifred H Mycka | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Theresa M Cieslinski | Nurse Practitioner | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Priyanka Sarihan | Psychiatry | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Stanley J Ladowicz | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Liliana Martinez | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis L Streeter | General Surgery | 8127 Merrillville Rd, Suite 3, Merrillville, IN 46410-1485 | |
| Chiedu J Nchekwube | Family Medicine | Family Medicine and Wellness Center, P.C. | 5495 Broadway, Merrillville, IN 46410-1647 |
| Juanita N Golden-allen | Nurse Practitioner | Family Medicine and Wellness Center, P.C. | 5495 Broadway, Merrillville, IN 46410-1647 |
| Jennifer Dochee | Interventional Cardiology | The Methodist Hospitals Inc | 5800 Broadway, Merrillville, IN 46410-2601 |
| Laura Rodriguez | Certified Clinical Nurse Specialist (cns) | The Methodist Hospitals Inc | 5800 Broadway, Merrillville, IN 46410-2601 |
| Mary Lorraine Hutchison | Nurse Practitioner | The Methodist Hospitals Inc | 5800 Broadway, Merrillville, IN 46410-2601 |
| Matthew J Tipton | Obstetrics/gynecology | Northshore Health Centers Inc | 6091 Broadway, Merrillville, IN 46410-2619 |
| Judith A Heilman | Nurse Practitioner | Northwest Indiana Nephrology PC | 6061 Broadway, Merrillville, IN 46410-2619 |
| Gaurav Alreja | Nephrology | Northwest Indiana Nephrology PC | 6061 Broadway, Merrillville, IN 46410-2619 |
| Harsh L Dalal | Gastroenterology | Franciscan Physician Network | 5825 Broadway, Suite B, Merrillville, IN 46410-2664 |
| Find all physicians in zip 46410 | |||
| City | MERRILLVILLE |
| Zip Code | 46410 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERRILLVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shawn 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.