LISA MARIE SMITH (NPI# 1164512935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512935 |
| Entity Type | Individual |
| Full Name | LISA MARIE SMITH |
| Credential | PA |
| Practice Address |
520 Main St Dowagiac MI 49047-1762 |
| Mailing Address |
5943 Stadium Dr Kalamazoo MI 49009-3016 |
| Practice Telephone | 2697833052 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006698 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
3512 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1699300350 | Lisa Kathryn Smith | Registered Nurse | 7913 Lakeview Dr, Denver, NC 28037-9265 | 2020-03-03 |
| 1821637778 | Lisa Ann Smith | Dietitian, Registered | 522 10th St, Aplington, IA 50604-1073 | 2019-12-24 |
| 1700421450 | Lisa Marie Smith | Nurse Practitioner | 4353 Heyward St, North Port, FL 34291-4561 | 2019-11-16 |
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1649753120 | Lisa Lynn Smith | Occupational Therapist | 355 Dogwood South Ln, Haughton, LA 71037-8511 | 2018-09-11 |
| 1083193270 | Lisa Smith | Occupational Therapist | 243 Raspberry Rd, Leola, PA 17540-2215 | 2018-08-09 |
| Street Address |
520 MAIN ST |
| City | DOWAGIAC |
| State | MI |
| Zip Code | 49047-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588710 | Christopher Alan Staley Jr. | Physician Assistant | 520 Main St, Dowagiac, MI 49047-1762 | 2019-09-25 |
| 1275073942 | Erica Rogers | Nurse Practitioner | 520 Main St, Dowagiac, MI 49047-1762 | 2017-02-28 |
| 1750797270 | Jessica M Gunn | Physician Assistant | 520 Main St, Dowagiac, MI 49047-1762 | 2014-07-03 |
| 1255756359 | Karlee Rife | Dental Hygienist | 520 Main St, Suite B, Dowagiac, MI 49047-1762 | 2014-02-26 |
| 1518382613 | Victor H Benavides Martinez | Family Medicine | 520 Main St, Dowagiac, MI 49047-1762 | 2014-02-26 |
| 1225468143 | Cynthia Zachary | Dental Hygienist | 520 Main St, Suite B, Dowagiac, MI 49047-1762 | 2013-11-13 |
| 1861839540 | Craig James Downer | Dentist | 520 Main St, Dowagiac, MI 49047-1762 | 2013-06-04 |
| 1922235563 | Adeel Yousaf | Pediatrics | 520 Main St, Suite C, Dowagiac, MI 49047-1762 | 2009-06-21 |
| 1679709422 | Eric Michael Balsis | Dentist | 520 Main St, Suite B, Dowagiac, MI 49047-1762 | 2009-06-08 |
| 1346415973 | Lee Memorial Hospital | Nurse Practitioner | 520 Main St, Dowagiac, MI 49047-1762 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497149124 | Karianne Ely | Specialist/Technologist | 92407 Center Dr, Dowagaic, MI 49047 | 2015-03-19 |
| 1669786257 | Pokagon Band of Potawatomi Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 32652 Kno Dr, Dowagiac, MI 49047 | 2010-08-06 |
| 1851619332 | Paddington Healthcare of Michigan LLC | Skilled Nursing Facility | 55432 Colby Street, Dowagiac, MI 49047 | 2010-05-10 |
| 1649502592 | Dowagiac Surgery PC | Surgery | 106 South Lowe St, Dowagiac, MI 49047 | 2010-02-03 |
| 1134336605 | Stephanie Lynn Munson | Specialist/Technologist | 29650 M62 W, Dowagiac, MI 49047 | 2007-05-16 |
| 1689705444 | Michael R Dewitt | Pharmacist | 56151 M51 South, Dowagiac, MI 49047 | 2007-03-07 |
| 1225185705 | Pokagon Band of Potawatomi Indians | Dietitian, Registered | 32652 Kno, Dowagiac, MI 49047 | 2007-01-05 |
| 1588726517 | Lee Memorial Hospital Corporation | Clinic/Center | 67892 M-152, Dowagiac, MI 49047 | 2006-12-15 |
| 1326156332 | Megan Lynne Foote | Pharmacist | 56151 M-51, Dowagiac, MI 49047 | 2006-08-29 |
| 1467567057 | Jonathan Wade Gillesby | Dentist | 530 Riverside Drive, Dowagiac, MI 49047 | 2006-08-21 |
| Find all providers in zip 49047 | ||||
| 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 |
|---|---|---|---|---|
| 1639626922 | Melissa Hultman | Physician Assistant | 520 Main St Ste C, Dowagiac, MI 49047-1762 | 2016-09-05 |
| 1790169688 | Shanta Lynn Clark | Physician Assistant | 58620 Sink Rd, Pokagon Health Services, Dowagiac, MI 49047-9329 | 2015-07-10 |
| 1750797270 | Jessica M Gunn | Physician Assistant | 520 Main St, Dowagiac, MI 49047-1762 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.