JUSTIN JOSHUA SMITH (NPI# 1124521711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124521711 |
| Entity Type | Individual |
| Full Name | JUSTIN JOSHUA SMITH |
| Credential | PA-C |
| Practice Address |
2300 Haggerty Rd West Bloomfield MI 48323-2184 |
| Mailing Address |
5301 Mcauley Dr Ypsilanti MI 48197-1051 |
| Practice Telephone | 2489269111 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
| 1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
| 1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
| 1225450984 | Justin L. Smith | Counselor | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2014-01-15 |
| 1154671394 | Justin Smith | Contractor | 2104 Elizabeth Ave, Zion, IL 60099-2731 | 2012-09-14 |
| 1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
| 1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| Street Address |
2300 HAGGERTY RD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744164 | Ann Timm | Registered Nurse | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2020-03-09 |
| 1356817688 | Courtney Peper | Nurse Practitioner | 2300 Haggerty Rd, West Bloomfield, MI 48323 | 2018-10-14 |
| 1841682432 | Team Rehabilitation Hg, LLC | Physical Therapist | 2300 Haggerty Rd, Suite 2020, West Bloomfield, MI 48323-2184 | 2015-02-19 |
| 1861819161 | Michigan Interventional Pain Associates Pllc | Pain Medicine | 2300 Haggerty Rd, Suite 2100, West Bloomfield, MI 48323-2184 | 2014-03-25 |
| 1740619121 | Lakes Psychiatric Center, Pllc | Psychiatry & Neurology | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-11-05 |
| 1760828198 | Abaris Health | Psychologist | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-05-13 |
| 1629329933 | Amy Noble Isenberg | Dentist | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2012-09-26 |
| 1902157498 | Vhs Physicians of Michigan | Internal Medicine | 2300 Haggerty Rd, Suite 2120, West Bloomfield, MI 48323-2184 | 2012-09-25 |
| 1649545955 | Dorene K Hardie-goo | Nurse Practitioner | 2300 Haggerty Rd, Suite 2010, West Bloomfield, MI 48323-2184 | 2012-03-20 |
| 1801164876 | Oakland Rehabilitation Associates Pllc | Physical Medicine & Rehabilitation | 2300 Haggerty Rd, Suite 2130, West Bloomfield, MI 48323-2184 | 2011-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| 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 |
|---|---|---|---|---|
| 1245862481 | Christian Marshall Landefeld | Physician Assistant | 7125 Orchard Lake Rd Ste 101, West Bloomfield, MI 48322-3616 | 2020-02-05 |
| 1144631516 | Candice Gergis | Physician Assistant | 5313 Windham Hill Ct, West Bloomfield, MI 48323-2755 | 2014-05-19 |
| 1912321027 | Patrick Agunwa | Physician Assistant | 6301 Royal Point, West Bloomfield, MI 48322 | 2014-02-10 |
| 1366884348 | Zena Riyadh Sagginario | Physician Assistant | 5340 Fox Ridge Dr, West Bloomfield, MI 48322-2010 | 2013-07-19 |
| 1518261403 | Dorothea Jean Green | Physician Assistant | 5511 Hammersmith Dr, West Bloomfield, MI 48322-1455 | 2011-01-06 |
| 1477619518 | Jennifer Marie Pfeiffer | Physician Assistant | 6576 Chelsea Brg, West Bloomfield, MI 48322-3072 | 2006-12-30 |
| 1689275497 | Courtney Quinn | Physician Assistant | 7125 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3616 | 2020-11-06 |
| 1609490689 | Jessica Sassine Akl | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-04 |
| 1073132916 | Haley Christine O'hora | Physician Assistant | 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3425 | 2020-04-10 |
| 1598304636 | Kyle E Gortat | Physician Assistant | 7125 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3616 | 2020-01-06 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
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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.