JENNIFER SMITH (NPI# 1013988013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013988013 |
| Entity Type | Individual |
| Full Name | JENNIFER SMITH |
| Credential | DO |
| Practice Address |
14 Wyonegonic Rd Bridgton ME 04009-4652 |
| Practice Telephone | 2076479021 |
| Practice Fax Number | 2076475932 |
| Mailing Telephone | 2076479021 |
| Mailing Fax Number | 2076475932 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1889 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 127770103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362164 | Jennifer K Smith | Homemaker | 6405 Zachary Dr, Sandusky, OH 44870-8617 | 2020-09-28 |
| 1164038634 | Jennifer Lynn Smith | Technician | 2445 Packs Branch Rd, Mount Hope, WV 25880-6523 | 2020-09-21 |
| 1982215638 | Jennifer D Smith | Technician | 355 Valley View Ave, Keyser, WV 26726-2631 | 2020-08-14 |
| 1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
| 1750905154 | Jennifer Dawn Smith | Registered Nurse | 624 W 1825 N, Centerville, UT 84014-3146 | 2020-06-01 |
| 1497378962 | Jennifer Morgan Smith | Speech-Language Pathologist | 110 Jeremy Ct, Easton, PA 18045-2162 | 2020-05-19 |
| 1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
| 1477182400 | Jennifer Eileen Smith | Dietitian, Registered | 7439 Chummley Ct, Falls Church, VA 22043-2938 | 2020-04-02 |
| 1134754526 | Jennifer Weston Smith | Massage Therapist | 1829 Ne 58th St, Seattle, WA 98105-2440 | 2020-03-06 |
| 1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
| Street Address |
14 WYONEGONIC RD |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489590 | Klaireece Fitch | Family Medicine | 14 Wyonegonic Rd, Bridgton, ME 04009-4652 | 2015-06-09 |
| 1831407881 | Tracy Sue Riggins | Social Worker | 14 Wyonegonic Rd, Bridgton, ME 04009-4652 | 2010-09-23 |
| 1578604997 | Kimberly Ann Struck | Social Worker | 14 Wyonegonic Rd, Bridgton, ME 04009-4652 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| 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 |
|---|---|---|---|---|
| 1992891584 | Drexel Reed Gordon | Family Medicine | 8 Depot St, Ste 2, Bridgton, ME 04009-1368 | 2006-10-04 |
| 1922489590 | Klaireece Fitch | Family Medicine | 14 Wyonegonic Rd, Bridgton, ME 04009-4652 | 2015-06-09 |
| 1104137058 | Shayna Lemke | Family Medicine | 25 Hospital Dr, Bridgton, ME 04009-1167 | 2010-06-25 |
| 1003887514 | Erinn Wright | Family Medicine | 15 Hospital Dr, Bridgton, ME 04009-1156 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
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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.