JONATHAN G SMITH (NPI# 1023057015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023057015 |
| Entity Type | Individual |
| Full Name | JONATHAN G SMITH |
| Credential | M.D. |
| Practice Address |
109 Andrew Ave Suite 203 Wayland MA 01778-3156 |
| Practice Telephone | 5083583300 |
| Mailing Telephone | 5083583300 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 214027 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912208 | Jonathan Smith | Counselor | 4711 Hickory Bend Dr Nw, Acworth, GA 30102-6340 | 2020-04-27 |
| 1316575657 | Jonathan Colby Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 | 2020-03-31 |
| 1215401112 | Jonathan Lang Smith | Nutritionist | 4112 Shirley Dr, Memphis, TN 38109-4600 | 2019-01-15 |
| 1043795453 | Jonathan Lamont Smith | Student in an Organized Health Care Education/Training Program | 591 N. Shaw Ln., East Shaw Hall E155, East Lansing, MI 48825 | 2018-10-02 |
| 1811402951 | Jonathan Rowland Smith | Physician Assistant | 322 Mulberry St Sw Ste C, Lenoir, NC 28645-5703 | 2017-12-12 |
| 1679005698 | Jonathan Smith | Counselor | 360 Grant Ave, Columbus, OH 43209 | 2017-03-29 |
| 1669867115 | Jonathan Isaiah Smith | Student in an Organized Health Care Education/Training Program | 17234 Valley Boulevard, Fontana, CA 92335 | 2015-04-01 |
| 1942600861 | Jonathan Craig Smith | Specialist/Technologist | 1435 Village Dr Dept 2801, Ogden, UT 84408-2801 | 2014-08-27 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1730322611 | Jonathan Eric Smith | Counselor | 1664 Chestwood Dr, Virginia Beach, VA 23453-7064 | 2009-04-08 |
| Street Address |
109 ANDREW AVE SUITE 203 |
| City | WAYLAND |
| State | MA |
| Zip Code | 01778-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134102064 | Tania M Bandak | Family Medicine | 109 Andrew Ave, Wayland, MA 01778-3156 | 2005-11-23 |
| 1710422373 | Wayland Personal Physicians Pllc | Internal Medicine | 109 Andrew Ave, Suite 203, Wayland, MA 01778-3157 | 2017-01-05 |
| 1073912515 | Kate Fitzgerald | Physical Therapist | 109 Andrew Ave, Wayland, MA 01778-4744 | 2014-08-21 |
| 1326453853 | Courtney Lavigne Dmd LLC | Dentist | 109 Andrew Ave, Suite 202, Wayland, MA 01778-3156 | 2014-06-23 |
| 1750720918 | Jason A Boch Dmd LLC | Clinic/Center | 109 Andrew Ave, Ste 201, Wayland, MA 01778 | 2013-06-21 |
| 1578806626 | Andrew Jordan Fiola | Chiropractor | 109 Andrew Ave, Suite 102, Wayland, MA 01778-3156 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545171 | Joan Patricia Cho-sik | Social Worker | 47 Grove Street, Wayland, MA 01778 | 2020-10-14 |
| 1023509973 | Kara Anne Lapierre | Registered Nurse | 85 West Plain Street, Wayland, MA 01778 | 2018-05-27 |
| 1538688148 | Konstantin V Bazarov | Acupuncturist | 244 Concord Rd, Wayland, MA 01778 | 2017-09-14 |
| 1073995700 | Nuch of Massachusetts, LLC | Clinic/Center | 84 Andrew Avenue, Wayland, MA 01778 | 2015-06-18 |
| 1225458995 | Susan Massad | Dietitian, Registered | 524 Boston Post Rd., The Longfellow Club, Wayland, MA 01778 | 2014-04-22 |
| 1790910438 | Yelena Yalli | Pharmacist | 7 Lakespur, Wayland, MA 01778 | 2009-05-26 |
| 1033398862 | Helena M Leet Pellegrini | Psychologist | 61 Sherman Bridge Rd, Wayland, MA 01778 | 2007-10-29 |
| 1962584292 | Miriam R Rosenberg | Psychiatry & Neurology | 206 Glezen Lane, Wayland, MA 01778 | 2006-10-19 |
| 1639264138 | Stephen Philip Bushee | Specialist/Technologist | Boston College, Conte Forum-room 124, Chestnut Hill, MA 01778 | 2006-10-03 |
| 1750474383 | Bruce Warner Shackleton | Psychologist | 35 Main Street #3, Wayland, MA 01778 | 2006-10-02 |
| Find all providers in zip 01778 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790958148 | Karen Denise Gooslin | Internal Medicine | 2662 King Kelly Coleman Highway, Wayland, KY 41666 | 2008-04-07 |
| 1497956791 | Robin J Tapper | Internal Medicine | 27 Decatur Ln, Wayland, MA 01778-2106 | 2007-05-31 |
| 1982642260 | Frederic M Goldman | Internal Medicine | 109 Andrew Ave Ste 203, Wayland Personal Physicians, Wayland, MA 01778-3157 | 2006-06-02 |
| 1710422373 | Wayland Personal Physicians Pllc | Internal Medicine | 109 Andrew Ave, Suite 203, Wayland, MA 01778-3157 | 2017-01-05 |
| 1447375399 | Glenn M Glesmann | Internal Medicine | 10 Bennett Rd, Wayland, MA 01778-2704 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1194332759 | Pembroke Medical Associates Inc | Internal Medicine | 15 Old West Elm St, Pembroke, MA 02359-1731 | 2020-09-28 |
| 1649886235 | Elizabeth Muhia | Internal Medicine | 19 Crown St Apt 15, Worcester, MA 01609-2097 | 2020-09-18 |
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1619586427 | Mc Zaslow LLC | Internal Medicine | 955 Main St Ste 302, Winchester, MA 01890-4303 | 2020-07-28 |
| 1073121489 | Commonwealth Medical Practice LLC | Internal Medicine | 505 Nashua Rd Ste 8, Dracut, MA 01826-1929 | 2020-07-21 |
| 1598382483 | Ksa Wellness, Inc. | Internal Medicine | 340 Wood Rd Ste 206, Braintree, MA 02184-2401 | 2020-06-26 |
| 1821614892 | Lyndia Personnat | Internal Medicine | 123 Summer St Ste 200, Worcester, MA 01608-1216 | 2020-06-24 |
| 1063038487 | Brian Vogel | Internal Medicine | 17a Park Ave, Winchester, MA 01890-2008 | 2020-06-22 |
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| 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.