DR. JESSE RYAN SMITH


Address: 5841 S Maryland Ave, Mc 6035, Chicago, IL 60637-1447
Phone: 7737027533

DR. JESSE RYAN SMITH (NPI# 1124431275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124431275
Entity Type Individual
Full Name DR. JESSE RYAN SMITH
Credential M.D.
Practice Address 5841 S Maryland Ave
Mc 6035
Chicago
IL 60637-1447
Mailing Address 42890 N Kenosha Rd
Zion
IL 60099-9539
Practice Telephone 7737027533
Practice Fax Number 7737021634
Mailing Telephone 8474459036
Enumeration Date 2014-06-06
Last Update Date 2020-04-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 125-064483 IL Allopathic & Osteopathic Physicians

Other Providers JESSE SMITH

NPI Name Taxonomy Address Enumeration
1790037828 Jesse Garland Smith Physician Assistant 1533 Koch Ln, San Jose, CA 95125-4852 2012-10-13
1881821049 Jesse Smith Marriage & Family Therapist 2288 Autumn Fire Ct, Las Vegas, NV 89117-8956 2009-06-15
1780838268 Jesse Sawyer Smith Occupational Therapist 47 Old Post Rd N, Red Hook, NY 12571-2261 2008-11-10
1013091859 Jesse C. Smith Jr. Physical Therapist 106a Woodland Dr, Lancaster, SC 29720 2006-10-25
1144845140 Jesse Gerald Smith IIi Day Training/Habilitation Specialist 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 2020-06-15
1972162063 Jesse Marie Smith Speech-Language Pathologist 235 E 9th Ave, Anchorage, AK 99501-7501 2019-06-12
1144799628 Jesse J Smith Peer Specialist 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 2018-11-14
1174099170 Jesse Enoch Smith Nurse Practitioner 182 16th St, Burlington, CO 80807-1649 2018-10-17
1508358177 Jesse Smith Dentist 441 Marshall Dr, Saint Robert, MO 65584 2018-05-30
1508391236 Jesse Kyle Smith Psychiatry & Neurology 920 Stanton L Young Blvd, G. Rainey Williams Pavillion 3rd Floor, Oklahoma City, OK 73104-5036 2017-05-01

Office Location

Street Address 5841 S MARYLAND AVE
MC 6035
City CHICAGO
State IL
Zip Code 60637-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700887296 Rita Lynn Mcgill Internal Medicine 5841 S Maryland Ave, Chicago, IL 60637-1447 2005-08-09
1447851472 Basirat Sulaiman Nurse Practitioner 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-11-05
1982204061 Martha Daniela Gorski Nurse Practitioner 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-10-28
1841807179 Jason Bugno Pharmacist 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-09-30
1942816798 Emily Mancewicz Registered Nurse 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-09-17
1841805546 Anayeli Locascio Nurse Practitioner 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-09-10
1336752856 Rachel Barsella Registered Nurse 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-08-25
1982215620 Jennifer Risner Registered Nurse 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-08-16
1134739857 Moshe Bedziner Physician Assistant 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-08-06
1427676899 Brittney Blackwell Registered Nurse 5841 S Maryland Ave, Chicago, IL 60637-1443 2020-07-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386263234 Pooja Ramnani Pharmacist 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
1366003501 Valerie Silas Case Management 6330 S King Drive, Chicago, IL 60637 2019-06-27
1205391620 Derek Joseph Fiedler Anesthesiology University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 2019-02-11
1821573072 Ugochinyere Ohaja Registered Nurse 5656 South Maryland Avenue, Chicago, IL 60637 2018-10-03
1053899138 Won Hee Oh Physician Assistant 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 2018-08-01
1558854695 Rasidat Adeduntan Internal Medicine 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 2018-06-13
1194235283 Melissa Ann Arangoa Registered Nurse 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 2017-10-03
1558880633 Marni Harris Optometrist 5841 S Maryland Ave # S421, Chicago, IL 60637 2017-09-11
1992235105 Vidya Mahavadi Pediatrics 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 2017-06-20
Find all providers in zip 60637

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821501586 Plastic Surgery Clinic of Chicago LLC Plastic Surgery 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 2017-11-15
1598123424 Craig Bradley Plastic Surgery 1035 W Rundell Pl, Chicago, IL 60607-2514 2016-02-06
1215346325 Damian Gress Plastic Surgery 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 2014-08-04
1639435993 Alireza Hamidian Jahromi Plastic Surgery 1653 W Congress Pkwy # 769, Chicago, IL 60612-3833 2012-04-11
1326330028 Kiran Polavarapu Md Sc Plastic Surgery 2348 N Lister Ave, 305, Chicago, IL 60614-2994 2011-05-12
1174814412 Sammy Sinno Plastic Surgery 737 N Michigan Ave Ste 1500, Chicago, IL 60611-6653 2011-04-20
1962700062 David Hill Plastic Surgery 100 E Walton St Ste 400, Chicago, IL 60611-1448 2011-03-14
1619279288 Michael E Schafer Plastic Surgery 2225 N Dayton St, Chicago, IL 60614-3611 2010-12-02
1225349350 Sumanas Wanant Jordan Plastic Surgery 675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 2010-06-23
1487978235 Frederick Wang Plastic Surgery 5841 S Maryland Ave Mc 6035, Chicago, IL 60637 2010-03-23
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60637

Improve Information

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Dataset Information

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.

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