DR. MICHAEL T. SMOLKA (NPI# 1194014290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194014290 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL T. SMOLKA |
| Credential | D.O. |
| Practice Address |
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638 |
| Mailing Address |
1170 Eagle Dr Bldg 150 Jbsa Lackland TX 78236-5705 |
| Practice Telephone | 2106716243 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 963 | NE | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
963 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 963 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
1100 WILFORD HALL LOOP BLDG 4554 |
| City | JBSA LACKLAND |
| State | TX |
| Zip Code | 78236-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176266 | Peter S Scholler | Nurse Practitioner | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2005-06-28 |
| 1376144428 | Steven Hilton | Physician Assistant | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-11-05 |
| 1235759077 | Courtney Kelly | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-22 |
| 1326667783 | Shreena Reddy | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-15 |
| 1114556685 | Magin Day | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-06 |
| 1346879038 | Caitlin Gonsolin | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-03 |
| 1497383756 | Jerry Andrew Peer | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-03-31 |
| 1083241103 | Brian Patrick Staak | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-03-26 |
| 1902438583 | Andrew Kim | Physical Therapist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-02-11 |
| 1326694845 | Ross Stanley | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941981 | Kimberly Anne Foster | Pediatrics | 23203 Bulverde Rd, San Antonio, TX 78259-2203 | 2018-02-09 |
| 1598119315 | Allison Baran | Pediatrics | 7211 Preston Rd, Plano, TX 75024 | 2016-04-18 |
| 1467750612 | Bert Milton Franks | Pediatrics | 6812 Riverridge Rd, Ft Worth, TX 76116-9355 | 2011-03-10 |
| 1417984055 | Karen M Kirk | Pediatrics | 701 Interstate 20 E, Arlington, TX 76018-1130 | 2006-06-27 |
| 1023520509 | Medcare Pediatric Group, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2017-10-24 |
| 1073988895 | Lindsey Pereira Sebastian | Pediatrics | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2015-12-04 |
| 1871964122 | University of Dallas | Pediatrics | 1845 E Northgate Dr, Maher Athletic Center, Irving, TX 75062-4736 | 2015-10-13 |
| 1770923294 | Jennifer L. Johnson, Md Pllc | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2013-06-28 |
| 1952538290 | Jacel Craig Brooks | Pediatrics | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2009-06-13 |
| 1487829719 | Shane Michael Miller | Pediatrics | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-04-28 |
| Find all providers with the same taxonomy | ||||
| City | JBSA LACKLAND |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on DR. MICHAEL T. SMOLKA.
| 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.