DR. EZRA E SMITH (NPI# 1124684865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124684865 |
| Entity Type | Individual |
| Full Name | DR. EZRA E SMITH |
| Credential | PHD |
| Practice Address |
2450 E River Rd Tucson AZ 85718-6526 |
| Practice Telephone | 5207957750 |
| Mailing Telephone | 6313190151 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY-005110 | AZ | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY-005110 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-005110 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361713 | Ezra Smith | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-06-22 |
| Street Address |
2450 E RIVER RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779872 | Anwar Badruddoja | Specialist | 2450 E River Rd, Tucson, AZ 85718-6522 | 2005-12-02 |
| 1245872274 | Alyssa J. Everett | Audiologist | 2450 E River Rd, Tucson, AZ 85718-6526 | 2019-10-10 |
| 1518465558 | Marisela Aguayo | Physician Assistant | 2450 E River Rd, Tucson, AZ 85718-6526 | 2018-01-24 |
| 1568980845 | Alexander Rogers | Nurse Practitioner | 2450 E River Rd, Tucson, AZ 85718-6526 | 2017-09-06 |
| 1013431212 | Gabriel Leyba Altamirano | Nurse Practitioner | 2450 E River Rd, Tucson, AZ 85718-6526 | 2017-07-28 |
| 1871942524 | Maria Linda Manalo | Nurse Practitioner | 2450 E River Rd, Tucson, AZ 85718-6526 | 2016-06-03 |
| 1740666973 | Arizona Oncology Associates, PC | Non-Pharmacy Dispensing Site | 2450 E River Rd, Ste. # 125, Tucson, AZ 85718-6526 | 2015-08-11 |
| 1447636063 | Stephanie Bourn-macdonald | Audiologist | 2450 E River Rd, Tucson, AZ 85718-6526 | 2015-08-05 |
| 1992189930 | Center for Neurosciences | Psychiatry & Neurology | 2450 E River Rd, Tucson, AZ 85718-6526 | 2015-07-18 |
| 1235545385 | Mary Goldstein | Audiologist | 2450 E River Rd, Tucson, AZ 85718-6526 | 2014-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
| 1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| 1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| 1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
| 1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
| 1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| Find all providers in zip 85718 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134578677 | Renee Gutman | Clinical Neuropsychologist | 5715 N Calle De Lucimiento, Tucson, AZ 85718-5134 | 2016-06-06 |
| 1609249721 | Karen Haas Putnam | Clinical Neuropsychologist | 2209 E 4th St, Tucson, AZ 85719-5119 | 2015-11-11 |
| 1780004382 | Dana Kristina Princiotta | Clinical Neuropsychologist | 1845 W Orange Grove Rd Ste 111, Tucson, AZ 85704-1196 | 2014-04-22 |
| 1831223577 | Jaine M Foster-valdez | Clinical Neuropsychologist | 5441 E 22nd St, Suite 135, Tucson, AZ 85711-5441 | 2007-03-15 |
| 1942336284 | Katherine Therese Vance | Clinical Neuropsychologist | 7444 N La Oesta Ave, Tucson, AZ 85704-3159 | 2007-02-23 |
| 1295877306 | Shannah Lynne Biggan | Clinical Neuropsychologist | 7461 E Tanque Verde Rd, Tucson, AZ 85715-3477 | 2007-02-13 |
| 1609988948 | Jennifer H Moon | Clinical Neuropsychologist | 2542 E Towner St, Tucson, AZ 85716-2117 | 2006-08-31 |
| 1255440004 | James Frederick Comer | Clinical Neuropsychologist | 1845 W Orange Grove Rd Suite 111, Tucson, AZ 85704 | 2006-08-29 |
| 1801842695 | Daniel Mark Chatel | Clinical Neuropsychologist | 403 W Cool Dr Ste 107, Tucson, AZ 85704-6551 | 2006-05-25 |
| 1447247960 | Glenn R Marks | Clinical Neuropsychologist | 4750 N Camino Luz, Tucson, AZ 85718-5819 | 2005-09-30 |
| Find all providers in TUCSON | ||||
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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.