JAMIE MICHELLE WALLACE SMITH (NPI# 1013144674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013144674 |
| Entity Type | Individual |
| Full Name | JAMIE MICHELLE WALLACE SMITH |
| Other Name | JAMIE MICHELLE WALLACE |
| Credential | M.D. |
| Practice Address |
200 Virgil Ave Se Mount Vernon IA 52314-1589 |
| Practice Telephone | 3198958841 |
| Practice Fax Number | 3198958477 |
| Mailing Telephone | 3198958841 |
| Mailing Fax Number | 3198958477 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39137 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R8646 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1013144674 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608536 | Jamie R Smith | Nurse Practitioner | 3829 Lorna Rd Ste 312, Hoover, AL 35244-7058 | 2020-01-08 |
| 1609359181 | Jamie Niccole Smith | Case Manager/Care Coordinator | 709 S Arno St, Coalgate, OK 74538-1616 | 2018-09-11 |
| 1992236491 | Jamie Smith | Social Worker | 23 Sand Hill School Rd, Asheville, NC 28806-1020 | 2017-03-26 |
| 1609314228 | Jamie Roshonnda Smith | Behavioral Analyst | 1400 Cinder Rock Dr, 202, Las Vegas, NV 89128-3984 | 2017-02-02 |
| 1598124976 | Jamie Lynn Smith | Acupuncturist | 5611 W Highway 290, #106, Austin, TX 78735-8819 | 2016-02-15 |
| 1346611365 | Jamie Smith | Social Worker | 2103 E Washington St Bldg 3, Bloomington, IL 61701-4310 | 2015-10-16 |
| 1306183199 | Jamie Helen Smith | Massage Therapist | 333 Linnippi Trl, Lock Haven, PA 17745-3142 | 2013-01-14 |
| 1699077503 | Jamie M Smith | Physician Assistant | 7862 Red Mahogany Rd, Boynton Beach, FL 33437-7530 | 2010-11-29 |
| 1497073829 | Jamie Pauline Smith | Massage Therapist | 4340 Se Madison St, Portland, OR 97215-2431 | 2010-05-10 |
| 1194981902 | Jamie Lynn Smith | Counselor | 11500 Northlake Dr Ste 230, Cincinnati, OH 45249-1661 | 2008-07-31 |
| Street Address |
200 VIRGIL AVE SE |
| City | MOUNT VERNON |
| State | IA |
| Zip Code | 52314-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629056163 | Clayton T Schuett | Family Medicine | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2006-01-05 |
| 1902034861 | Tiernie J. Kluver | Physician Assistant | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2009-06-30 |
| 1992901268 | Benjamin Harrison Daniels | Family Medicine | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2007-06-25 |
| 1457394645 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756670 | Alexander J J Hale | Specialist/Technologist | 1010 Palisades Road Sw, Mount Vernon, IA 52314 | 2015-12-21 |
| 1407248412 | Sabrina Rogers | Counselor | 301 Hwy 1 Se Ste B, Mt Vernon, IA 52314 | 2015-02-27 |
| 1760792899 | Krista Joi Ringwald | Pharmacist | 113 First St East, Mount Vernon, IA 52314 | 2010-10-07 |
| 1689862393 | Mary A Mosher | Pharmacist | 113 1st Street E., Mount Vernon, IA 52314 | 2007-10-09 |
| 1174720940 | Mercy Physician Associates, Inc | Family Medicine | 310 Highway 1 Se, Mt. Vernon, IA 52314 | 2007-06-27 |
| 1831248723 | Brad Allen Kluver | Chiropractor | 111 1st Street East, Mount Vernon, IA 52314 | 2007-01-09 |
| 1578559829 | Monica Ann Meeker | Family Medicine | 421 3rd Avenue South, Mount Vernon, IA 52314 | 2005-09-22 |
| 1972034064 | Emily Martin | Specialist/Technologist | 600 1st St, Mount Vernon, IA 52314 | 2017-03-21 |
| 1558564450 | Dawn M. Gaffney, Dds, LLC | Dentist | 801 Hwy 30 W, Mount Vernon, IA 52314-0202 | 2007-06-07 |
| 1518468156 | Kelly Leeper | Specialist/Technologist | 600 1st St Sw, Mount Vernon, IA 52314-1006 | 2018-02-27 |
| Find all providers in zip 52314 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084299 | Jean Woel Latortue | Family Medicine | 506 State Tx Hwy 37, Mount Vernon, TX 75457 | 2020-08-17 |
| 1144693250 | David B. Benson, Md, Pllc | Family Medicine | 1603 S 3rd St, Mount Vernon, WA 98273-4909 | 2015-11-11 |
| 1245617828 | Choudhry Nadeem Mumtaz | Family Medicine | 209 Crossroads Pl Ste 120, Mount Vernon, IL 62864-6545 | 2015-05-02 |
| 1801221403 | Docrx, Inc. | Family Medicine | 4200 Williamson Pl, Mount Vernon, IL 62864-6705 | 2013-09-13 |
| 1457605909 | Docrx Inc | Family Medicine | 209 Crossroads Pl Ste 100, Mount Vernon, IL 62864-6545 | 2012-11-06 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| 1760750467 | Lower Oconee Community Hospital, Inc. | Family Medicine | 421 W Robinson Drive, Mount Vernon, GA 30445 | 2011-12-08 |
| 1336435049 | Benjamin Mclaughlin | Family Medicine | 819 S 13th St, Mount Vernon, WA 98274-4112 | 2011-06-21 |
| 1851600845 | Janet K Christiansen | Family Medicine | 13301 Egbers Kalso Rd, Mount Vernon, WA 98273-8207 | 2010-09-25 |
| 1538483722 | Lynette Marie Emery | Family Medicine | 17879 Valley Ridge Ln, Mount Vernon, WA 98274-7743 | 2010-03-17 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 52314 |
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| 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.