MR. GLENNIS DALE SMITH (NPI# 1023337037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023337037 |
| Entity Type | Individual |
| Full Name | MR. GLENNIS DALE SMITH |
| Credential | P.A. |
| Practice Address |
5300 57th St N Birmingham AL 35217-3328 |
| Mailing Address |
20 Scottsdale Dr Alabaster AL 35007-8994 |
| Practice Telephone | 2058083220 |
| Mailing Telephone | 2056859777 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA709 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5300 57TH ST N |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35217-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992892897 | Alan Dan Smith | Registered Nurse | 5300 57th St N, Birmingham, AL 35217-3328 | 2006-10-10 |
| 1275621062 | Ronald Ray Yarbrough | Registered Nurse | 5300 57th St N, Birmingham, AL 35217-3328 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170775 | Village Drug Co. LLC | Pharmacy | 300 Carlow Ln, Ste 116, Birmingham, AL 35217 | 2019-05-29 |
| 1972728624 | Doris Putman Maise | Pharmacist | 1152 Eastlake Blvd, Tarrant City, AL 35217 | 2007-04-16 |
| 1912053109 | Rdr Corporation | Pharmacy | 1152 East Lake Blvd, Tarrant, AL 35217 | 2007-01-28 |
| 1306920541 | Patricia Nmi Mcfarland | Registered Nurse | 5300 57th Street North, Birmingham, AL 35217 | 2006-10-24 |
| 1376636001 | Burns Pharmacy, Inc. | Pharmacist | 541 Jackson Boulevard, Tarrant, AL 35217 | 2006-10-02 |
| 1952526600 | Bobby Donald Maise | Pharmacist | 1152 East Lake Blvd, Tarrant, AL 35217 | 2007-04-16 |
| 1417404559 | Danielle Cobb | Specialist/Technologist | 1044 Georgetown Ln, Birmingham, AL 35217-1084 | 2016-09-07 |
| 1003806092 | Jefferson County Commission | Durable Medical Equipment & Medical Supplies | 200 N Pine Hill Rd, Birmingham, AL 35217-1215 | 2005-10-21 |
| 1851815203 | Donna Newell LLC | Clinical Nurse Specialist | 200 N Pine Hill Rd, Birmingham, AL 35217-1215 | 2017-07-27 |
| 1861836306 | North Hill Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 200 N Pine Hill Rd, Birmingham, AL 35217-1215 | 2013-04-27 |
| Find all providers in zip 35217 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1508475740 | Stephanie Joseph Gilkey | Physician Assistant | 1505 Pleasant Ct, Birmingham, MI 48009-2909 | 2020-07-23 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1730712571 | Emily Fallon Wilson | Physician Assistant | 3686 Grandview Pkwy Ste 530, Birmingham, AL 35243-3405 | 2020-02-20 |
| 1538791074 | Caroline Garrison Inge | Physician Assistant | 2700 10th Ave S Ste 505, Birmingham, AL 35205-1250 | 2020-02-11 |
| 1770114274 | Christopher Hopfner | Physician Assistant | 1809 Haynes St, Birmingham, MI 48009-6822 | 2020-02-03 |
| 1821550815 | Rebecca Brajak | Physician Assistant | 48 Medical Park Dr E Ste 150, Birmingham, AL 35235-3456 | 2019-04-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35217 |
Please comment or provide details below to improve the information on MR. GLENNIS DALE 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.