DR. RYAN MICHEAL SMITH (NPI# 1235491697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235491697 |
| Entity Type | Individual |
| Full Name | DR. RYAN MICHEAL SMITH |
| Credential | M.D. |
| Practice Address |
1611 W Harrison St Ste 550 Chicago IL 60612 |
| Mailing Address |
1611 W Harrison St Ste 550 Chicago IL 60612-4861 |
| Practice Telephone | 3129426100 |
| Practice Fax Number | 3129426225 |
| Mailing Telephone | 3129426100 |
| Mailing Fax Number | 3129426225 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 036-146879 | IL | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
036-146879 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754795 | Ryan David Smith | Dentist | Bldg 4681 Logistics Ave, Fort Bragg, NC 28310-0001 | 2019-05-07 |
| 1225599533 | Ryan Philip Smith | Student in an Organized Health Care Education/Training Program | 501 E 91st St, Kansas City, MO 64131-2931 | 2019-03-28 |
| 1104317262 | Ryan Alexander Smith | Surgery | 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 | 2018-05-24 |
| 1265955942 | Ryan Michael Smith | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2017-07-25 |
| 1164950481 | Ryan Kenneth Smith | Family Medicine | 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 | 2017-05-31 |
| 1063948545 | Ryan C Smith | Marriage & Family Therapist | 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 | 2017-05-03 |
| 1346787942 | Ryan Smith | Behavioral Analyst | 3251 Nebraska St, Longview, WA 98632-4228 | 2017-01-21 |
| 1235587346 | Ryan Michael Smith | Physical Therapist | 98 Brickel St, Columbus, OH 43215-1506 | 2016-05-31 |
| 1528439734 | Ryan Smith | Physical Therapist | 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 | 2015-10-14 |
| 1669849618 | Ryan G Smith | Social Worker | 617 S 700 W, Hurricane, UT 84737-2429 | 2015-08-25 |
| Street Address |
1611 W HARRISON ST STE 550 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043248503 | Elias M Michaelides | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2006-06-30 |
| 1457912123 | Michelle Elaine Mark | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2019-06-24 |
| 1497296800 | Jacob Justin Friedman | Student in an Organized Health Care Education/Training Program | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2017-03-17 |
| 1467870964 | Anatoli Frances Karas | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2014-04-01 |
| 1891129557 | Meghan Elizabeth Hoppes | Physician Assistant | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2013-08-29 |
| 1659696870 | Bobby Aliff Tajudeen | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2010-03-30 |
| 1114198678 | Peter Charles Revenaugh | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2008-03-12 |
| 1861557605 | Kerstin M Stenson | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023214426 | Otolaryngology Associates Sc | Otolaryngology | 233 E Erie St Ste 804, Chicago, IL 60611-2906 | 2007-06-22 |
| 1821191404 | Gary G Wiesman | Otolaryngology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2006-09-07 |
| 1609805985 | Howard Shane Kotler | Otolaryngology | 2555 S. Martin Luther King Dr., Chicago, IL 60616 | 2006-06-30 |
| 1477184562 | Chicago Nose and Sinus LLC | Otolaryngology | 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 | 2020-01-28 |
| 1215180757 | Gary Wiesman Md. Ltd | Otolaryngology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2008-10-28 |
| 1801857545 | James B Lucas II | Otolaryngology | 1855 W Taylor St, Mc 648 Room 2.42, Chicago, IL 60612-7242 | 2006-03-31 |
| 1831184001 | Stephen Philip Becker | Otolaryngology | 233 E Erie St, 804, Chicago, IL 60611-2926 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326338526 | Sudeep Roy | Otolaryngology | 1640 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-3985 | 2011-04-10 |
| 1487834958 | Ryan C Vaughn | Otolaryngology | 814 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2007-11-13 |
| 1982769717 | Anthony James Geroulis | Otolaryngology | 330 West Frontage Rd., Northfield, IL 60093 | 2006-12-22 |
| 1912926205 | Bryan W Rubach | Otolaryngology | 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 | 2006-07-18 |
| 1447288303 | Thomas E. Turcotte Jr. | Otolaryngology | 215 E. 1st St., Suite #315, Ksb Medical Group, Dixon, IL 61021 | 2006-06-29 |
| 1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
| 1326321431 | Bernard Carl Pecaro | Otolaryngology | 383 S Schmale Rd, Carol Stream, IL 60188-2756 | 2011-09-25 |
| 1043507908 | Kartike Gulati | Otolaryngology | 3700 W 203rd St, Olympia Fields, IL 60461 | 2011-06-29 |
| 1407098544 | William Panje Md Sc | Otolaryngology | 6703 159th St, Tinley Park, IL 60477-1781 | 2009-04-06 |
| 1720273378 | Sanjay Pradeep Keni | Otolaryngology | 6420 W 127th St, Palos Heights, IL 60463-2269 | 2007-09-06 |
| Find all providers with the same taxonomy | ||||
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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.