DR. JEFFERY M SMITH (NPI# 1104841188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104841188 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY M SMITH |
| Credential | M.D. |
| Practice Address |
304 W Hay St Suite 215 Decatur IL 62526-6328 |
| Practice Telephone | 2478754263 |
| Practice Fax Number | 2178725481 |
| Mailing Telephone | 2478754263 |
| Mailing Fax Number | 2178725481 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
0360982761 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 05832033 | 01 |
| IL | RAILROAD MEDICARE | P00048412 | 01 |
| IL | 0360982761 | 05 | |
| IL | HEALTHLINK | 388802 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167401 | Jeffery Dan Smith | Pharmacist | 146 West 200 South, Kamas, UT 84036 | 2017-07-20 |
| 1497197669 | Jeffery Smith | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-07-29 |
| 1851659908 | Jeffery Kenneth Smith | Physical Therapist | 8002 Waldorf Ct, Orlando, FL 32817-1586 | 2012-04-26 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1982730339 | Jeffery Owen Smith | Pharmacist | 3020 E Main St, Lot V-120, Mesa, AZ 85213-9488 | 2007-02-27 |
| 1215957105 | Jeffery William Smith | Dentist | 630 Woods Creek Dr, Sonora, CA 95370-4817 | 2006-07-20 |
| 1861961153 | Jeffery Michael Smith | Physician Assistant | 441 S Redwood Rd, Slc, UT 84104-3539 | 2018-11-16 |
| 1063913648 | Jeffery David Smith | Occupational Therapist | 1255 W Silverbell Rd, Lake Orion, MI 48359-1345 | 2018-02-28 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1902101207 | Jeffery Dee Smith | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2011-01-18 |
| Street Address |
304 W HAY ST SUITE 215 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| 1407397284 | Amanda Kierbs | Nurse Practitioner | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2017-03-14 |
| 1881901593 | Ryan Casey Williamson | Specialist/Technologist | 304 W Hay St, Suite 218, Decatur, IL 62526-6328 | 2010-09-02 |
| 1013161538 | Ranjodh Singh | Surgery | 304 W Hay St, Ste 313, Decatur, IL 62526-4167 | 2008-11-11 |
| 1801046958 | Marshall F. Brustein M.d. | Occupational Therapist | 304 W Hay St, Suite 112, Decatur, IL 62526-6328 | 2008-09-25 |
| 1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
| 1710172325 | Donald Walter Wendt | Physician Assistant | 304 W Hay St, Ste 111, Decatur, IL 62526-6328 | 2007-09-07 |
| 1922128388 | Decatur Neurological Associates Ltd. | Clinic/Center | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2007-03-30 |
| 1255465951 | M Stephen Huss M.d.,s.c. | Orthopaedic Surgery | 304 W Hay St, Suite 213, Decatur, IL 62526-6328 | 2007-03-15 |
| 1043355480 | Jms Hand Associates, S.c. | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083723738 | T. Rex Orthopaedics, PC | Orthopaedic Surgery | 1014 Sycamore Dr Ste B, Decatur, GA 30030 | 2006-08-29 |
| 1831234764 | Jms Hand Associates Sc | Orthopaedic Surgery | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1639692973 | Oa Associated LLC | Orthopaedic Surgery | 1414 Cross St Ste 110, Shiloh, IL 62269-2988 | 2017-07-19 |
| 1932376092 | Felicity Fishman | Orthopaedic Surgery | 2160 S 1st Ave Ste 1700, Maywood, IL 60153-3328 | 2008-05-08 |
| 1548466725 | Emily Anne Gilley | Orthopaedic Surgery | 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 | 2007-06-25 |
| 1942406558 | Chirag Mukund Shah | Orthopaedic Surgery | 737 N Michigan Ave Ste 700, Chicago, IL 60611-6662 | 2007-06-22 |
| 1518185438 | The Board of Trustees of The University of Illinois | Orthopaedic Surgery | 835 S Wolcott St, Chicago, IL 60612-7342 | 2007-04-23 |
| 1679798565 | Michael Victor Birman | Orthopaedic Surgery | 515 W Algonguin Rd., Hand Surgery Associates, S.c., Arlington Heights, IL 60005 | 2007-04-16 |
| 1518020080 | Orhan Kaymakcalan | Orthopaedic Surgery | 2755 West 15th St, Room M302, Chicago, IL 60608 | 2006-12-18 |
| 1992871347 | Marko F Krpan | Orthopaedic Surgery | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2006-11-28 |
| 1841383031 | Scott D Sagerman | Orthopaedic Surgery | 515 W Algonquin Rd, Ste 120, Arlington Heights, IL 60005-4405 | 2006-10-02 |
| 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.