DR. MICHAEL WASHBURN SMITH (NPI# 1043351356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043351356 |
Entity Type | Individual |
Full Name | DR. MICHAEL WASHBURN SMITH |
Credential | MD |
Practice Address |
3145 W Clark Rd Suite 201 Ypsilanti MI 48197-1120 |
Practice Telephone | 7345285700 |
Practice Fax Number | 7345729100 |
Mailing Telephone | 7345285700 |
Mailing Fax Number | 7345729100 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2015-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MS029991 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1043351356 | 05 | |
MI | BCBS | 0H10528 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881200012 | Michael Smith | Physical Therapy Assistant | 3690 Orange Pl Ste 250, Beachwood, OH 44122-4438 | 2020-09-22 |
1700499712 | Michael Martin Smith | Social Worker | 1020 Simonds Rd, Williamstown, MA 01267-2102 | 2020-08-28 |
1811509466 | Michael Browning Smith | Acupuncturist | 2039 Regency Rd Ste 3, Lexington, KY 40503-2334 | 2020-08-17 |
1942862941 | Michael B Smith | Counselor | 260 Chapman Rd Ste 103, Newark, DE 19702-5410 | 2019-07-01 |
1003370818 | Michael Jaleon Smith | Case Manager/Care Coordinator | 14206 Long Meadow Dr, Houston, TX 77047-4597 | 2019-01-25 |
1699255877 | Michael R Smith | Naturopath | 23501 W Clark St, Plainfield, IL 60586-2321 | 2018-08-17 |
1750869384 | Michael Smith | Counselor | 4636 E 175th St, Cleveland, OH 44128-3930 | 2018-08-06 |
1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
1457878118 | Michael Smith | Physical Therapist | 3524 Kaliste Saloom Rd Ste 205, Lafayette, LA 70508-7638 | 2017-08-24 |
Street Address |
3145 W CLARK RD SUITE 201 |
City | YPSILANTI |
State | MI |
Zip Code | 48197-1120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962408161 | Fayek Nicholas Shamma | Obstetrics & Gynecology | 3145 W Clark Rd, Ste 301, Ypsilanti, MI 48197-1120 | 2005-06-22 |
1578011615 | Justin Diebold | Physical Therapist | 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 | 2016-09-19 |
1588112619 | Ronald P. Adelman Dpm Pllc | Podiatrist | 3145 W Clark Rd, #201, Ypsilanti, MI 48197-1120 | 2016-09-19 |
1548717713 | Charlotte Cahill | Physical Therapist | 3145 W Clark Rd, 106, Ypsilanti, MI 48197-1120 | 2016-09-06 |
1699149997 | Patricia Watkins | Registered Nurse | 3145 W Clark Rd, Suite 303, Ypsilanti, MI 48197-1120 | 2015-11-24 |
1316321136 | Nathan Kangas | Physical Therapist | 3145 W Clark Rd, Ste 102, Ypsilanti, MI 48197-1120 | 2015-07-10 |
1801276274 | Washtenaw Podiatry Group, LLC | Podiatrist | 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197-1120 | 2015-06-01 |
1689061467 | Chelsea Professional Services | Internal Medicine | 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197-1120 | 2015-04-20 |
1346632106 | Kevern Hartmann | Physical Therapist | 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 | 2015-03-03 |
1952793804 | Cara House | Physical Therapist | 3145 W Clark Rd, Ypsilanti, MI 48197-1120 | 2015-03-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
Find all providers in zip 48197 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962422329 | Abdul Haq | Family Medicine | 5839 Willow Ridge Dr, Ypsilanti, MI 48197-1033 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
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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.