BRETT MARVIN SMITH (NPI# 1104317908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104317908 |
| Entity Type | Individual |
| Full Name | BRETT MARVIN SMITH |
| Credential | PA |
| Practice Address |
100 Medical Center Dr Hazard KY 41701 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6064496600 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TC722 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851657985 | Brett James Smith | Preventive Medicine | 585 Buckingham Way, San Francisco, CA 94132-1904 | 2012-04-03 |
| 1952610529 | Brett Ashley Smith | Marriage & Family Therapist | 850 Iron Point Rd, 107, Folsom, CA 95630-9009 | 2010-09-30 |
| 1902031149 | Brett Evan Smith | Psychologist | 2890 13th St, Ste 114, Greeley, CO 80634 | 2009-05-18 |
| 1316092034 | Brett Smith | Chiropractor | 842 East Washington Street, San Diego, CA 92103 | 2007-01-24 |
| 1619064300 | Brett I Smith | Physical Therapist | 1104 Grundman Blvd, Nebraska City, NE 68410-3397 | 2006-10-06 |
| 1265043996 | Brett E Smith | Pharmacist | 602 W University Ave, Urbana, IL 61801-2530 | 2020-08-14 |
| 1801407721 | Brett T Smith | Pharmacist | 1601 Naamans Rd, Wilmington, DE 19810-3020 | 2020-08-13 |
| 1346858495 | Brett David Smith | Physical Therapist | 9218 Kimmer Dr Ste 100, Lone Tree, CO 80124-6733 | 2020-07-15 |
| 1700387701 | Brett Smith | Community Health Worker | 1755 N 200 E, North Logan, UT 84341-1915 | 2018-02-24 |
| 1982110110 | Brett Smith | Behavior Technician | 3978 Sorrento Valley Blvd Ste 100, San Diego, CA 92121-1436 | 2017-12-26 |
| Street Address |
100 MEDICAL CENTER DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355329 | Christopher Case | Pharmacist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2020-04-18 |
| 1023655214 | Christian Davidson | Registered Nurse | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2019-12-06 |
| 1558914630 | Anna Combs | Physical Therapist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2019-07-18 |
| 1558826800 | Richard Earl Jones | Nurse Anesthetist, Certified Registered | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2019-01-31 |
| 1336623271 | Allison Didio | Speech-Language Pathologist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2018-09-17 |
| 1306344775 | Brian Scott Hancock | Pharmacist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2018-01-31 |
| 1326584319 | Kevin J Stanley | Nurse Anesthetist, Certified Registered | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2017-01-13 |
| 1104273416 | Jeffrey Ryan Meadows | Pharmacist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2016-05-17 |
| 1164881959 | Kaitlyn E Shields | Nurse Anesthetist, Certified Registered | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2016-02-22 |
| 1518337724 | Judith Combs | Dietitian, Registered | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| 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 |
|---|---|---|---|---|
| 1346243433 | Polly C Jones | Physician Assistant | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2005-05-23 |
| 1699778795 | Marty Mullins | Physician Assistant | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2005-05-23 |
| 1013911346 | Beverly Paige Neace | Physician Assistant | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2005-05-23 |
| 1851947717 | Lindsey Brooke Combs | Physician Assistant | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-08-15 |
| 1295214047 | Johnathan O'neil Davidson | Physician Assistant | 200 Medical Center Dr, Hazard, KY 41701 | 2018-08-13 |
| 1518330596 | Hillary R Campbell | Physician Assistant | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2015-11-12 |
| 1801177027 | Jessica Lea Amburgey | Physician Assistant | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2011-09-01 |
| 1821211996 | Hazard Internal Medicine, P.s.c | Physician Assistant | 243 Roy Campbell Dr, Suite A, Hazard, KY 41701-9485 | 2007-04-10 |
| 1023025384 | Mary A Engle | Physician Assistant | 271 E Main St, Hazard, KY 41701-1939 | 2006-08-01 |
| 1669486197 | Lia Back | Physician Assistant | 145 Citizens Ln, Hazard, KY 41701-1320 | 2006-07-28 |
| Find all providers in HAZARD | ||||
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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.