JIMMIE MARQUETTE SMITH (NPI# 1194834937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834937 |
| Entity Type | Individual |
| Full Name | JIMMIE MARQUETTE SMITH |
| Credential | MD |
| Practice Address |
180 S Main St Canton IL 61520-2608 |
| Practice Telephone | 3096470201 |
| Practice Fax Number | 3096496880 |
| Mailing Telephone | 3096470201 |
| Mailing Fax Number | 3096495101 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036085766 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085766 | 05 | |
| IL | NPI CLINIC NUMBER | 1942315197 | 01 |
| IL | HEALTH LINK | 207537 | 01 |
| IL | JOHN DEERE | IL0112 | 01 |
| IL | RR MEDICARE GROUP# | CG5172 | 01 |
| IL | UMWA | 0062839 | 01 |
| IL | OSF HEALTHPLANS | 085766 | 01 |
| IL | RR MEDICARE PIN | 110200800 | 01 |
| IL | HEALTH ALLIANCE | 014146 | 01 |
| IL | BCBS | 02922981 | 01 |
| IL | BLACK LUNG | 200397 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898792 | Jimmie Lee Smith | Assisted Living Facility | 19874 N White Oak Dr, New Caney, TX 77357-6922 | 2020-07-06 |
| 1265096085 | Jimmie Allen Smith IIi | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Heights, OH 44118-1268 | 2019-04-26 |
| 1538368766 | Jimmie Kirkland Smith | Pathology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2007-07-17 |
| Street Address |
180 S MAIN ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794004 | Brent D Parry | Podiatrist | 180 S Main St, Canton, IL 61520-2608 | 2005-07-19 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1063976058 | Jessica Lynn Bugos | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2019-01-24 |
| 1366911497 | Rebekah Ridgeway | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-11-19 |
| 1851891071 | Lacey N Mcmahill | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-14 |
| 1205335510 | Cody J. Gibbs | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-02 |
| 1699204750 | Breann Shalene Farr | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2017-06-12 |
| 1609305390 | Karen Hahn | Social Worker | 180 S Main St, Canton, IL 61520-2608 | 2017-06-07 |
| 1346693504 | Kyle Mccarthy | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-07-22 |
| 1407201940 | Alyssa Crawford | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520-2608 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| 1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1326424805 | Vishnu Sai LLC | Internal Medicine | 6672 List St Nw, Canton, OH 44708-6419 | 2015-08-06 |
| 1619350501 | Ohio Pulmonary and Sleep Physicians LLC | Internal Medicine | 1445 Harrison Ave Nw Ste 101, Canton, OH 44708-2628 | 2015-07-09 |
| 1073932414 | Christina Powers | Internal Medicine | 470 Northside Cherokee Blvd, Ste 380, Canton, GA 30115-8015 | 2014-04-14 |
| 1083054902 | Umayr Azimi | Internal Medicine | 44237 Michigan Ave, Canton, MI 48188-2866 | 2013-06-25 |
| 1356699896 | John Anthony Ziolo | Internal Medicine | 141 Wedgewood Falls Dr, Canton, GA 30114-8928 | 2012-08-15 |
| 1437414018 | Wassim Chehouri | Internal Medicine | 1988 Elmhurst St, Canton, MI 48187-3119 | 2012-07-10 |
| 1790078624 | Jacklyn L Quade | Internal Medicine | 1051 N Canton Center Road, Canton, MI 48187-5097 | 2011-05-25 |
| 1679875892 | Sourabh Prabhakar | Internal Medicine | 2600 Sixth St Sw Ste A2-710, Canton, OH 44710-1702 | 2010-11-19 |
| 1033341060 | Zahoorul Hassan | Internal Medicine | 40592 Tamarack Dr, Apt#204, Canton, MI 48188-2828 | 2009-08-09 |
| Find all providers in CANTON | ||||
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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.