NATHAN BRYAN SMITH (NPI# 1154309326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154309326 |
| Entity Type | Individual |
| Full Name | NATHAN BRYAN SMITH |
| Credential | PA C |
| Practice Address |
743 Country Club Rd Eugene OR 97401-6019 |
| Practice Telephone | 5416815090 |
| Mailing Telephone | 5416815090 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2009-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01365 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA10004600 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LDI | 8941241 | 01 | |
| WA | LDI | 0208529 | 01 |
| WA | 8379174 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407764 | Nathan Lorenzo Smith | Social Worker | 100 State St Apt 148, North Haven, CT 06473-2227 | 2020-04-30 |
| 1285184010 | Nathan Dale Smith | Occupational Therapist | 105 Citation Dr Ste B, Danville, KY 40422-8633 | 2016-10-05 |
| 1396056727 | Nathan M Smith | Nurse Practitioner | 3939 Ne Hancock St Ste Sf1, Portland, OR 97212-5321 | 2010-06-30 |
| 1023329778 | Nathan Merrill Smith | Dentist | 140b Purcellville Gateway Dr # 543, Purcellville, VA 20132-3485 | 2010-06-28 |
| 1639491566 | Nathan Dwayne Smith | Pharmacist | 312 Schillinger Rd S Ste Z, Mobile, AL 36608-5032 | 2010-02-19 |
| 1669655270 | Nathan Richard Smith | Pharmacist | 35 Forgham St, Lyons, NY 14489-1327 | 2007-12-06 |
| 1144411075 | Nathan Smith | Counselor | 6641 N Seneca St, Portland, OR 97203-2533 | 2007-08-06 |
| 1043350341 | Nathan John Smith | Audiologist | 320 Cedar St, Wray, CO 80758-1819 | 2007-02-07 |
| 1275607640 | Nathan Warren Smith | Physical Therapy Assistant | 4115 Ea 240 No, Rigby, ID 83442-5879 | 2006-11-20 |
| 1811918329 | Nathan England Smith | Dentist | 148 South 1100 East, American Fork, UT 84003 | 2006-07-21 |
| Street Address |
743 COUNTRY CLUB RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750650511 | Cascade Anesthesia Services | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2011-12-23 |
| 1407038342 | Cynthia A Dreyer | Dermatology | 743 Country Club Rd, Eugene, OR 97401-6019 | 2007-12-03 |
| 1811039605 | Lisa Kelm | Occupational Therapist | 743 Country Club Rd, Eugene, OR 97401-6019 | 2007-02-12 |
| 1417019829 | Dreyer Dermatology | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-12-14 |
| 1649330457 | Hand Therapy Clinic LLC | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-12-11 |
| 1851305791 | Leslie Werschkul Mcstravick | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-07-28 |
| 1053350702 | Virginia Harrison Saunders | Occupational Therapist | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-06 |
| 1174561658 | Kenda Hills | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-06-04 |
| 1851353668 | Thomas Dreyer | Plastic Surgery | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-04-05 |
| 1417918772 | Northwest Center for Plastic Surgery, LLC | Clinic/Center | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1871133322 | Kim Fox | Physician Assistant | 1292 High St Ste 224, Eugene, OR 97401-3238 | 2020-01-13 |
| 1881112910 | Patrick Russell Tutt | Physician Assistant | 2596 City View St, Eugene, OR 97405-1443 | 2017-09-08 |
| 1598139800 | Sean Malanowski | Physician Assistant | 1200 Hilyard St Ste 620, Eugene, OR 97401-8157 | 2015-11-24 |
| 1346617792 | Marissa Reen | Physician Assistant | 360 S Garden Way Ste 290, Eugene, OR 97401-8175 | 2015-09-01 |
| 1780918847 | Ryan Lee Cain | Physician Assistant | 4040 W 11th Ave Ste B, Eugene, OR 97402-5601 | 2009-09-22 |
| 1023292067 | Chelsea Genna Marshall | Physician Assistant | 1861 Kingsley Rd. #80, Eugene, OR 97401 | 2007-12-27 |
| 1245326651 | Lisa Marlene Olson | Physician Assistant | 330 S Garden Way Ste 390, Eugene, OR 97401-8179 | 2006-10-04 |
| 1881621381 | Jan K Lintz | Physician Assistant | 3525 Hilyard St Ste 600, Eugene, OR 97405-3866 | 2006-06-28 |
| 1538147053 | Lisa M Ingold | Physician Assistant | 360 S Garden Way Ste 230, Eugene, OR 97401-8187 | 2006-01-04 |
| 1205823036 | Cheryl R Bourgault | Physician Assistant | 360 S Garden Way, Suite 210, Eugene, OR 97401-8173 | 2005-10-06 |
| Find all providers in EUGENE | ||||
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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.