DR. WILLIAM R SMITH (NPI# 1003922360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003922360 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM R SMITH |
| Credential | MD |
| Practice Address |
625 E Broadway Jackson WY 83001 |
| Mailing Address |
Po Box 428 Jackson WY 83001-0428 |
| Practice Telephone | 3077333636 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
6990A | WY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| Street Address |
625 E BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350292 | David J Tomlinson | Anesthesiology | 625 E Broadway, Jackson, WY 83002 | 2006-03-23 |
| 1841596806 | A Francine Tryka Md PC | Clinical Medical Laboratory | 625 E Broadway, Jackson, WY 83001 | 2011-02-08 |
| 1396979159 | Ihc Health Services Inc | Clinic/Center | 625 E Broadway, Jackson, WY 83001-0000 | 2009-05-08 |
| 1801929997 | Teton County Hospital District | Medicare Defined Swing Bed Unit | 625 E Broadway, Jackson, WY 83001-0428 | 2007-03-14 |
| 1275689853 | Karen Maureen Blum | Registered Nurse | 625 E Broadway, Jackson, WY 83001 | 2007-01-26 |
| 1942352950 | Anna Francine Tryka | Pathology | 625 E Broadway, Jackson, WY 83001 | 2007-01-18 |
| 1578633988 | Western Wyoming Pathology, Inc | Clinical Medical Laboratory | 625 E Broadway, Jackson, WY 83001 | 2006-11-09 |
| 1154490233 | Teton Mri | Clinic/Center | 625 E Broadway, Jackson, WY 83001 | 2006-11-06 |
| 1821103268 | Marc F Domsky | Anesthesiology | 625 E Broadway, Jackson, WY 83001 | 2006-08-19 |
| 1669586632 | Jackson Hole Medical Imaging, PC | Radiology | 625 E Broadway, St Johns Medical Center-dept of Radiology, Jackson, WY 83001-9496 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447469135 | Alton Parker | Emergency Medicine | 555 E. Broadway #212, Jackson, WY 83001 | 2007-05-21 |
| 1649383001 | Jeffrey D Greenbaum | Emergency Medicine | 625 E Broadway St, Jackson, WY 83001-0428 | 2006-08-17 |
| 1174569107 | Gregory W Fuller | Emergency Medicine | 1006 Airport Rd, Jackson, MI 49202-1851 | 2006-06-20 |
| 1417318361 | Jacob Robert Russell | Emergency Medicine | 620 Skyline Dr, Jackson, TN 38301 | 2016-03-18 |
| 1972836294 | Independent Observation Physicians Pllc | Emergency Medicine | 205 N East Ave, Jackson, MI 49201-1753 | 2009-09-18 |
| 1700119500 | Independent Observation Physicians Pllc | Emergency Medicine | 205 N East Ave, Jackson, MI 49201-1753 | 2009-09-10 |
| 1538345855 | Emergency Medical Care Facilities PC | Emergency Medicine | 620 Skyline Dr, Jackson, TN 38301-3923 | 2008-01-16 |
| 1881891786 | James Plemon Coleman II | Emergency Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2007-07-02 |
| 1033225354 | Richard A Mckay | Emergency Medicine | 625 E Broadway St, Jackson, WY 83001 | 2006-08-21 |
| 1780797050 | Albert R Wheeler IIi | Emergency Medicine | 625 E Broadway, Jackson, WY 83001-0428 | 2006-08-17 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DR. WILLIAM R 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.