THERESA A ROGERS SMITH (NPI# 1134340227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134340227 |
| Entity Type | Individual |
| Full Name | THERESA A ROGERS SMITH |
| Other Name | THERESA A ROGERS HALEY |
| Credential | PAC |
| Practice Address |
4241 State Highway 14 Christopher IL 62822-1037 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6187242401 |
| Practice Fax Number | 6187244628 |
| Mailing Telephone | 6187242401 |
| Mailing Fax Number | 6187249257 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | 085-002815 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3022 S Park Ave, Herrin, IL 629483721 | 6189889777 | 6189889097 |
| Street Address |
4241 STATE HIGHWAY 14 |
| City | CHRISTOPHER |
| State | IL |
| Zip Code | 62822-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548200298 | Christopher Greater Area Rural Health Planning Corporation | Pharmacy | 4241 State Highway 14, Christopher, IL 62822-1037 | 2006-06-08 |
| 1063076016 | Laura Schall | Dentist | 4241 State Highway 14, Christopher, IL 62822-1037 | 2019-04-25 |
| 1881168300 | Christopher Greater Area Rural Health Planning Corporation | Pharmacy | 4241 State Highway 14, Christopher, IL 62822-1037 | 2019-01-17 |
| 1558839084 | Heather Rae Ward | Nurse Practitioner | 4241 State Highway 14, Christopher, IL 62822-1037 | 2018-11-02 |
| 1992290506 | Kasandra Sapp | Social Worker | 4241 State Highway 14, Christopher, IL 62822-1037 | 2018-06-26 |
| 1679024590 | Angela Diane Olson | Social Worker | 4241 State Highway 14, Christopher, IL 62822-1037 | 2016-10-14 |
| 1437505526 | Melissa Aaron | Counselor | 4241 State Highway 14, Christopher, IL 62822 | 2016-05-09 |
| 1982070942 | Leslie Suzanne Jones | Registered Nurse | 4241 State Highway 14, Christopher, IL 62822 | 2015-08-13 |
| 1558756205 | Jacklyn Hedger | Nurse Practitioner | 4241 State Highway 14, Christopher, IL 62822 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253928 | Ability Home Health and Rehab LLC | Home Health | 4343 Il-14, Christopher, IL 62822 | 2019-09-11 |
| 1184954240 | Arthur Lee Basso | Dentist | 212 W. Ernestine Ave., Christopher, IL 62822 | 2010-01-12 |
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1174715650 | Ultimate Therapeutic Solutions, LLC | Clinic/Center | 4343 State Highway 14, Christopher, IL 62822 | 2007-08-17 |
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1194877233 | Lana Malkovich | Pharmacy Technician | Rea Clinic Pharmacy, 4241 Highway 14 West, Christopher, IL 62822 | 2007-01-17 |
| 1780749812 | Kirks Pharmacy | Pharmacy | 114 West Market Street, Christopher, IL 62822 | 2006-12-27 |
| 1841359924 | James Kirkpatrick | Pharmacist | 114 West Market St, Christopher, IL 62822 | 2006-12-06 |
| 1336240571 | Shari Renee Jones | Registered Nurse | Rea Clinic, 4241 Highway 14 West, Christopher, IL 62822 | 2006-09-26 |
| Find all providers in zip 62822 | ||||
| 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 |
|---|---|---|---|---|
| 1174035141 | Alan Hightower | Physician Assistant | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2017-10-31 |
| 1912914094 | Marilyn S Starkey | Physician Assistant | 4241 Hwy 14 West, Rea Clinic, Christopher, IL 62822 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTOPHER |
| Zip Code | 62822 |
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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.