MICHAEL DORIAN SMITH (NPI# 1124073853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073853 |
| Entity Type | Individual |
| Full Name | MICHAEL DORIAN SMITH |
| Credential | PHD |
| Practice Address |
1241 Mall Dr Richmond VA 23235-4737 |
| Mailing Address |
1241 Mall Drive Richmond VA 23235-4737 |
| Practice Telephone | 8047948828 |
| Mailing Telephone | 8047948828 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701000583 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CIGNA | 87647 | 01 |
| VA | SENTARA | 084256 | 01 |
| VA | 005407036 | 05 | |
| VA | ANTHEM BCBS OF VIRGINIA | 082305 | 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 |
1241 MALL DR |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500575 | Audrey Doris Landers | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2005-09-30 |
| 1023277332 | Stephanie Lynn Dauley | Counselor | 1241 Mall Dr, Richmond, VA 23235-4879 | 2008-06-03 |
| 1730354804 | Buczek & Ehrmantraut PC | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4879 | 2008-04-29 |
| 1962515114 | Patricia Leigh Winterberger Brock | Counselor | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-08-15 |
| 1336161520 | William David Brock | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-07-24 |
| 1902858897 | John Edward Ehrmantraut Jr. | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-05-17 |
| 1295786390 | Teresa Ann Buczek | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152882 | Greta Hicks Brooks | Counselor | 207 Willoughby Dr, Richmond, TX 77469-6076 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1164029187 | Ami Ballay Williams | Counselor | 827 E Parham Rd Ste 4, Richmond, VA 23227-1126 | 2020-10-02 |
| 1104433622 | Jerard Lamarl Elliott | Counselor | 119 S 1st St Apt 103, Richmond, VA 23219-3760 | 2020-09-29 |
| 1922614288 | Tiffany Toombs Royall | Counselor | 2111 Davenport Ave, Richmond, VA 23228-4617 | 2020-09-21 |
| 1407467053 | Claire B Lewis | Counselor | 5815 Fitzhugh Ave, Richmond, VA 23226-1803 | 2020-08-16 |
| 1659989051 | Stephanie Jeanette Rodenberg-lewis | Counselor | 930 Holly Hall Dr, Richmond, TX 77406-2376 | 2020-07-21 |
| 1932726247 | Darrick Cory White | Counselor | 1111 Escambia Way Dr, Richmond, TX 77406-2794 | 2020-07-02 |
| 1588280424 | Domonique Ashleigh-nicole Wilson | Counselor | 11221 Arbor Creek Dr Apt 436, Richmond, VA 23233-0206 | 2020-06-16 |
| 1104445154 | Teresh Hodiah Wilson | Counselor | 3115 North Ave, Richmond, VA 23222-2646 | 2020-04-09 |
| Find all providers in RICHMOND | ||||
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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.