DR. GLEN ALLEN SMITH (NPI# 1235147349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235147349 |
| Entity Type | Individual |
| Full Name | DR. GLEN ALLEN SMITH |
| Credential | MD |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Mailing Address |
3701 Riggs Rd Temple TX 76502-7636 |
| Practice Telephone | 2547432700 |
| Practice Fax Number | 2547430514 |
| Mailing Telephone | 2549831975 |
| Mailing Fax Number | 2547430514 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | HO825 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154338812 | Glen Allen Smith | Dentist | 4725 N Cloverdale Rd, Boise, ID 83713 | 2006-08-02 |
| 1851944565 | Glen Michael Smith | Community Health Worker | 2200 4th St, Baker City, OR 97814-2615 | 2019-07-22 |
| 1912096579 | Glen Scott Smith | Family Medicine | 2501 E Chapman Ave, Orange, CA 92869-3204 | 2006-10-12 |
| 1346336146 | Glen E Smith | Technician/Technologist | 9525 Queens Blvd, Rego Park, NY 11374-4511 | 2006-10-05 |
| 1326031105 | Glen B Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 | 2005-08-26 |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1205305075 | Paul Lanciault | Orthotist | 1901 S 1st St, Temple, TX 76504-7451 | 2018-11-21 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1558874131 | Kellyn Marie Czajkowski | Dietitian, Registered | 1901 S 1st St, Temple, TX 76504-7451 | 2017-11-06 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
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| 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 |
|---|---|---|---|---|
| 1750910436 | John S Kelley | Internal Medicine | 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 | 2020-04-05 |
| 1477073161 | Sheena Simon | Internal Medicine | Scott and White Memorial Hospital 2401 S St, Temple, TX 76508-0001 | 2017-06-22 |
| 1033646252 | Hannah Pederson | Internal Medicine | 2401 S 31st St # Ms 27104a, Temple, TX 76508-0001 | 2017-05-18 |
| 1669821070 | Brett Deatherage | Internal Medicine | Scott & White Healthcare - Internal Medicine, 2401 S. 31st St., Temple, TX 76508 | 2016-06-07 |
| 1770961484 | Amy Elizabeth Barnett | Internal Medicine | Department of Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-13 |
| 1265878045 | Rachael Lea Pattison | Internal Medicine | 7921 Honeysuckle, Temple, TX 76502-5554 | 2013-05-20 |
| 1376886853 | Zunair Nazim Afghani | Internal Medicine | 2401 S 31st St # 9c513c, Temple, TX 76508 | 2013-04-03 |
| 1710245162 | Constance Larea Cole | Internal Medicine | 463 Westfield Blvd, Apt. 836, Temple, TX 76502-5318 | 2012-04-23 |
| 1891089025 | Aruna Lakshmi Jahoor | Internal Medicine | Dept of Internal Medicine 1605 S 31st St, Temple, TX 76508-0001 | 2011-06-06 |
| 1689814386 | Mammen Ashish Sam | Internal Medicine | 2416 S 13th St Apt 626, Temple, TX 76504-7815 | 2009-02-20 |
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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.