WAYNE SMITH (NPI# 1205842101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205842101 |
| Entity Type | Individual |
| Full Name | WAYNE SMITH |
| Credential | DO |
| Practice Address |
3210 Eagle Run Dr Ne Ste 100 Grand Rapids MI 49525-7051 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 6162793725 |
| Mailing Telephone | 2316724900 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5101011102 | MI | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
5101011102 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4615238 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1140 Monroe Ave Nw, Suite 150, Grand Rapids, MI 495031055 | 6164596331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437644689 | Wayne Randolph Smith | Technician, Pathology | 1615 Hill Rd Ste C, Novato, CA 94947-4338 | 2018-06-28 |
| 1346797461 | Wayne Allen Roberto Smith | Counselor | 1601 East 4th Plain Blvd, Lifeline Connections, Vancouver, WA 98661 | 2016-09-07 |
| 1578980983 | Wayne Maurice Smith | General Practice | 60 Ne Summit Rd., Chehalis, WA 98532 | 2014-03-24 |
| 1447581392 | Wayne R. Smith | Dentist | 656 N. Wellwood Ave, Louis Lasky Memorial Medical & Dental Center, Lindenhurst, NY 11757 | 2010-01-15 |
| 1609055607 | Wayne Christopher Smith | Chiropractor | 229 20th St, Apt.c, San Diego, CA 92102-3845 | 2007-10-26 |
| 1043435654 | Wayne Lee Smith | Hearing Instrument Specialist | 410 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3534 | 2007-04-17 |
| 1679643530 | Wayne S Smith | Chiropractor | 1211 N 20th Ave, Pasco, WA 99301 | 2006-11-08 |
| 1003848631 | Wayne Douglas Smith | Physical Therapist | 55 Sheridan Circle, Suite A, Bluffton, SC 29910-6025 | 2006-07-06 |
| 1750343992 | Wayne Graham Smith | Chiropractor | 158 Lake St, Saint Albans, VT 05478-2278 | 2006-04-04 |
| 1164404497 | Wayne E Smith | Pathology | 5333 S Adams Ave Parkway, Suite C, Washington Terrace, UT 84405-6946 | 2005-11-14 |
| Street Address |
3210 EAGLE RUN DR NE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164622411 | Pravin C Patel | Preventive Medicine | 309 Jefferson Ave Se, Suite 1, Grand Rapids, MI 49503 | 2007-07-24 |
| 1689896169 | Richard C. Postma | Preventive Medicine | 973 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2007-05-03 |
| 1821116856 | Nan T Wernette | Preventive Medicine | 933 3 Mile Rd Nw, Suite 110, Grand Rapids, MI 49544-1673 | 2007-03-27 |
| 1952447567 | John Machuta | Preventive Medicine | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2007-01-30 |
| 1356423636 | Richard W. Visser | Preventive Medicine | 973 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2006-10-19 |
| 1184715369 | Iveta Dubravec | Preventive Medicine | 4600 Breton Rd Se Ste 103, Grand Rapids, MI 49508-5220 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407329261 | Lakeland Medical Practices | Preventive Medicine | 2500 Niles Rd Ste 4, Saint Joseph, MI 49085-3225 | 2019-01-04 |
| 1588153209 | Bellin Health Iron Mountain Inc | Preventive Medicine | 1707 S Stephenson Ave Ste 102, Iron Mountain, MI 49801-3667 | 2018-05-08 |
| 1700200086 | Donald Jackson Jr. | Preventive Medicine | 2500 E Grand Blvd, Medical Dept, Detroit, MI 48211-2006 | 2014-02-07 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1710229661 | Raymond Jones | Preventive Medicine | 16822 Warwick St, Detroit, MI 48219-4042 | 2013-03-19 |
| 1992064851 | Sharon Rothstein | Preventive Medicine | 30865 Running Stream, Suite 1, Farmington Hills, MI 48334 | 2012-05-14 |
| 1053699744 | Nancy Murto | Preventive Medicine | 6062 Kings Ct, Dryden, MI 48428-9336 | 2011-07-28 |
| 1538469085 | Richard Alan Rood | Preventive Medicine | 11322 Silverlake Ct, Shelby Township, MI 48317-2647 | 2010-11-01 |
| 1679802425 | Susan M Madden | Preventive Medicine | 532 Kingsley Trl, Bloomfield Hills, MI 48304-2316 | 2009-12-08 |
| 1972839447 | John A Geralt | Preventive Medicine | 19041 E 12 Mile Rd, Roseville, MI 48066-2609 | 2009-10-19 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on WAYNE SMITH.
| 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.