MR. WILLIAM SMITH IV (NPI# 1275179178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275179178 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM SMITH IV |
| Practice Address |
2535 S Twin Bridge Rd Decatur IL 62521-9604 |
| Practice Telephone | 2178534432 |
| Mailing Telephone | 2178534432 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | S53093286346 | IL | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| 1972990463 | William Harris Smith II | Physician Assistant | 120 Cristianitos Rd Unit 13305, San Clemente, CA 92673-6993 | 2015-04-22 |
| Street Address |
2535 S TWIN BRIDGE RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487961215 | Rebecca Waddell | Private Vehicle | 120 Benton Dr, Decatur, IL 62526-1408 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223703 | Jimmy D Hill | Private Vehicle | 300 W Bond Ave Apt 11, Patoka, IL 62875-1044 | 2020-10-23 |
| 1033716675 | Tuwana Hunter | Private Vehicle | 512 N Jackson St, Waukegan, IL 60085-3848 | 2020-10-07 |
| 1407462336 | Connect Care Trans LLC | Private Vehicle | 2454 W Peterson Ave, Chicago, IL 60659-4113 | 2020-09-16 |
| 1437769577 | Steven Walls | Private Vehicle | 12 Chatham Cir, Kankakee, IL 60901-5802 | 2020-08-04 |
| 1275166514 | Ira Lee Williams | Private Vehicle | 9801 S Karlov Ave Apt 203, Oak Lawn, IL 60453-3443 | 2020-02-14 |
| 1033740477 | Karriage Incorporated | Private Vehicle | 8314 W 95th St, Hickory Hills, IL 60457-1951 | 2020-02-03 |
| 1972147627 | Td Reliable Transport LLC | Private Vehicle | 1462 Legacy Dr Unit 4, Dekalb, IL 60115-2078 | 2019-11-05 |
| 1225670151 | Margaret Sharice Ward | Private Vehicle | 1995 W Meadowview Dr, Round Lake, IL 60073-9793 | 2019-10-11 |
| 1427699081 | Tb Transportation Enterprise Inc | Private Vehicle | 4114 W Gladys Ave, Chicago, IL 60624-3284 | 2019-10-04 |
| 1942858881 | Renita Ann Birt | Private Vehicle | 656 Sterling Ct, Dekalb, IL 60115-8279 | 2019-09-03 |
| 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.