JENNIFER A SMITH OB GYN LLC (NPI# 1124541636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124541636 |
| Entity Type | Organization |
| Organization Name | JENNIFER A SMITH OB GYN LLC |
| Other Organization Name | JENNIFER A SMITH OB/GYN LLC |
| Practice Address |
1 Wyoming St Ste 4110 Dayton OH 45409-2722 |
| Mailing Address |
1 Wyoming St Ste 3120 Dayton OH 45409-2722 |
| Practice Telephone | (937) 208-5665 |
| Practice Fax Number | 9372085669 |
| Mailing Telephone | 9372085665 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. JENNIFER ANDERSON SMITH (OWNER) |
| Authorized Official Telephone | 3098386685 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 130559 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jennifer A Smith OB/GYN LLC | Other Name - Individual/Organization |
| Street Address |
1 WYOMING ST STE 4110 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043876394 | Rachel K Booth | Obstetrics & Gynecology | 128 E Apple St Ste 3800d, Dayton, OH 45409-2902 | 2019-05-13 |
| 1821449513 | Lacey Wood | Obstetrics & Gynecology | 1 Wyoming St Ste 3100, Dayton, OH 45409-2722 | 2016-06-24 |
| 1386006252 | Keshia Nicole Torres-shafer | Obstetrics & Gynecology | 1 Wyoming St Ste 3100a, Dayton, OH 45409-2722 | 2016-03-22 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1407299431 | Jennifer Anderson Smith | Obstetrics & Gynecology | 1 Wyoming St Ste 3120, Dayton, OH 45409-2722 | 2013-04-09 |
| 1609136829 | Robert Butler Hilty | Obstetrics & Gynecology | 6831 Rose Glen Dr, Dayton, OH 45459-1392 | 2012-05-22 |
| 1811126956 | Bassam S Nakfour | Obstetrics & Gynecology | 809 Blossom Heath Rd, Dayton, OH 45419-1102 | 2009-07-10 |
| 1871732289 | Deborah Smith Bredestege | Obstetrics & Gynecology | 1 Wyoming St Berry Women's Center Labor & Delivery, Ste 4130, Dayton, OH 45409 | 2009-02-09 |
| 1790953982 | Robert C. Winslow | Obstetrics & Gynecology | 73 Wythe Parish St, Dayton, OH 45459-4734 | 2008-02-11 |
| 1548444896 | Krista Swenson | Obstetrics & Gynecology | 128 Apple St, Suite 3800 Weber Che, Dayton, OH 45409-2902 | 2007-12-21 |
| Find all providers in DAYTON | ||||
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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.