MADISON SMITH (NPI# 1215455886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215455886 |
| Entity Type | Individual |
| Full Name | MADISON SMITH |
| Credential | PA-C |
| Practice Address |
1090 Commerce Dr Prescott AZ 86305 |
| Mailing Address |
1090 Commerce Dr Prescott AZ 86305-3700 |
| Practice Telephone | 9285381000 |
| Mailing Telephone | 9285381000 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9602 S Kenneth Pl, Tempe, AZ 852844108 | 6025273839 | 6025273839 |
| 12075 E State Route 69, Dewey, AZ 863274517 | 9287721673 | 8773196131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636939 | Madison Smith | Behavior Technician | 1726 Defoor Ave Nw Unit B, Atlanta, GA 30318-7532 | 2020-10-14 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1891263968 | Madison Hannah Smith | Dietitian, Registered | 1000 W Boise Cir Fl 3, Broken Arrow, OK 74012-4900 | 2018-11-07 |
| 1619429610 | Madison Claire Smith | Student in an Organized Health Care Education/Training Program | 30177 Pinecrest Dr., Spring Hill, KS 66083 | 2016-10-26 |
| 1730703992 | Madison Smith | Behavior Technician | 1166 S Gilbert Rd, Suite 106, Gilbert, AZ 85296-3460 | 2020-06-03 |
| 1043850449 | Madison Kirsten Smith | Behavior Technician | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108 | 2020-01-14 |
| 1366080848 | Madison Elizabeth Smith | Social Worker | 6051 N Brookline Ave Ste 112, Oklahoma City, OK 73112-4286 | 2019-12-16 |
| 1831656172 | Madison Catherine Smith | Behavior Technician | 3070 Riverside Dr Ste 200, Columbus, OH 43221-2547 | 2019-02-22 |
| 1861969560 | Madison T Smith | Assistant Behavior Analyst | 5300 Lennox Ave Ste 100, Bakersfield, CA 93309-1662 | 2018-10-31 |
| 1245758929 | Madison Smith | Behavior Technician | 1420 Carlisle Blvd Ne Ste 100, Albuquerque, NM 87110-5662 | 2017-09-01 |
| Street Address |
1090 COMMERCE DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516589 | David Andrew Green | Pediatrics | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2005-05-30 |
| 1669036901 | Loleita Leanora Green-reid | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2019-04-23 |
| 1255854246 | Spencer Claussen | Registered Nurse | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-07-21 |
| 1902326937 | Fiona Henderson-power | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-06-21 |
| 1447786157 | Joseph Donaldson | Psychologist | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-05-02 |
| 1841678943 | Mirandine Fitchette | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2015-05-11 |
| 1689097792 | Diane Barrera | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2014-01-24 |
| 1053663054 | Lois Karleen Acosta | Lactation Consultant, Non-RN | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2012-10-15 |
| 1306168356 | Cristal C Barko | Social Worker | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2010-02-18 |
| 1952501389 | County of Yavapai | Public Health or Welfare | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1598046070 | Landon Keith Stribe | Physician Assistant | 726 Gail Gardner Way Ste B, Prescott, AZ 86305-2316 | 2011-08-29 |
| 1841303690 | Samuel Clark Reid-mckee | Physician Assistant | Navahcs 500 North Hwy 89, Prescott, AZ 86313 | 2006-08-16 |
| 1922037431 | Dawn Annette Garcia | Physician Assistant | 3769 Crossings Dr Ste D, Prescott, AZ 86305-7121 | 2006-06-30 |
| 1962459040 | Kristine A Weaver-miller | Physician Assistant | 811 Ainsworth Dr Ste 109, Prescott, AZ 86301 | 2006-05-27 |
| 1952387813 | Karen Lynn Raffensperger | Physician Assistant | Medical Services of Prescott, 1003 Willow Creek Road, Prescott, AZ 86301 | 2005-12-21 |
| 1609862275 | Maria Therese Boedigheimer | Physician Assistant | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-20 |
| 1992708523 | Mark A Thiele | Physician Assistant | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2005-05-27 |
| 1376027540 | Lizette Leach | Physician Assistant | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2018-09-24 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1093258014 | Victoria Wood | Physician Assistant | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2016-11-22 |
| Find all providers in PRESCOTT | ||||
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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.