THEODORE L SMITH (NPI# 1053932111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053932111 |
| Entity Type | Individual |
| Full Name | THEODORE L SMITH |
| Practice Address |
9401 Lorain Ave # 102 Cleveland OH 44102-4726 |
| Practice Telephone | 2167602786 |
| Mailing Telephone | 2167602786 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790627 | Theodore Roosevelt Smith | Licensed Practical Nurse | 830 Ezzard Charles Drive, Cincinnati, OH 45214 | 2018-11-28 |
| 1427203157 | Theodore Vandix Smith IIi | Counselor | 71-50 Parsons Blvd., Flushing, NY 11365 | 2008-11-21 |
| 1629228408 | Theodore Michael Smith | Massage Therapist | 13818 6760 Rd, Montrose, CO 81401-7494 | 2008-09-29 |
| 1558583492 | Theodore Williams Smith | Psychiatry & Neurology | 100 Edgewood Avenue N.e., Suite 1228, Atlanta, GA 30303-3068 | 2007-05-02 |
| 1265544340 | Theodore G. Smith | Chiropractor | 639 Old Phoenix Rd, Eatonton, GA 31024-5610 | 2006-08-31 |
| 1477152924 | Theodore Smith | Social Worker | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2020-10-25 |
| 1649880758 | Theodore James Smith | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2020-08-04 |
| 1336506658 | Theodore C Smith | Registered Nurse | 600 East Blvd, Elkhart, IN 46514-2483 | 2016-01-16 |
| 1841600947 | Theodore Roosevelt Smith IIi | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-04-29 |
| 1891053435 | Theodore Smith | Home Health Aide | 2312 Rhode Island Ave Ne, Washington, DC 20018-2829 | 2012-05-02 |
| Street Address |
9401 LORAIN AVE # 102 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44102-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138259 | Christian Bracero | Home Health Aide | 1285 W 91 St Upstairs, Cleveland, OH 44102 | 2020-09-15 |
| 1639702855 | Ohio Wellness Transit | Non-emergency Medical Transport (VAN) | 3295 W. 97th St, Cleveland, OH 44102 | 2020-02-17 |
| 1538655642 | Alayah Wypasek | Case Manager/Care Coordinator | 3201 West 73rd, Cleveland, OH 44102 | 2018-07-02 |
| 1811489826 | Kimberly Ann Leftridge | Home Health Aide | 2088 W. 95th, Down, Cleveland, OH 44102 | 2018-06-05 |
| 1407352800 | Peace By Piece Cleveland | Community/Behavioral Health | 10237 Berea Rd, Cleveland, OH 44102 | 2018-04-04 |
| 1285130922 | Ruthanne Gurcze | Counselor | 3201 W 73rd Street, Cleveland, OH 44102 | 2018-04-02 |
| 1619486297 | Kimberly Billue | Home Health Aide | 2205 W 106th Street, Lower, Cleveland, OH 44102 | 2017-09-26 |
| 1114446473 | Kalia Marie Woods | Student in an Organized Health Care Education/Training Program | 2045 W 95th St, Cleveland, OH 44102 | 2017-09-18 |
| 1255858437 | Michelle Leann Genet | Counselor | 10427 Detroit Avenue, Cleveland, OH 44102 | 2017-08-28 |
| 1770033136 | Village Preparatory School IIi | Psychologist | 2220 W. 93rd St., Cleveland, OH 44102 | 2016-10-10 |
| Find all providers in zip 44102 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1538774153 | Sarah Louise Woodside | Peer Specialist | 4478 S Hills Dr, Cleveland, OH 44109-4479 | 2020-09-10 |
| 1003421819 | Loretta Wilson | Peer Specialist | 3018 E 128th St, Cleveland, OH 44120-3003 | 2020-09-09 |
| 1558975128 | Jessica Ann Bair | Peer Specialist | 4606 Gifford Ave, Cleveland, OH 44144-2944 | 2020-09-01 |
| 1407460280 | Shiyla Ann Nix | Peer Specialist | 2230 E 82nd St, Cleveland, OH 44103-5008 | 2020-08-31 |
| 1538772611 | Ross Hilaszek | Peer Specialist | 2001 Willowdale Ave, Cleveland, OH 44109-2838 | 2020-08-28 |
| 1760008254 | Sober First, LLC | Peer Specialist | 4415 Euclid Ave Ste 204, Cleveland, OH 44103-3758 | 2020-06-19 |
| Find all providers in CLEVELAND | ||||
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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.