CARLY M SMITH


Address: 900 Peeler St, Kalamazoo, MI 49008-2300
Phone: 2693458618

CARLY M SMITH (NPI# 1275868630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275868630
Entity Type Individual
Full Name CARLY M SMITH
Other Name CARLY M FERGUSON
Credential CRNA
Practice Address 900 Peeler St
Kalamazoo
MI 49008-2300
Practice Telephone 2693458618
Practice Fax Number 2693451508
Mailing Telephone 2693458618
Mailing Fax Number 2693451508
Enumeration Date 2009-10-02
Last Update Date 2011-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 4704244365 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI MICHIGAN RN LICENSE 4704244365 01

Other Providers CARLY SMITH

NPI Name Taxonomy Address Enumeration
1003300351 Carly Michelle Smith Nurse Practitioner 2416 21st Ave S Ste 201, Nashville, TN 37212-5318 2018-06-20
1336509256 Carly Smith Dentist 1216 Front St, Binghamton, NY 13905-1126 2016-03-04
1700196276 Carly Smith Rehabilitation Practitioner 7219 Cestrum Rd, Las Vegas, NV 89113-3218 2010-10-18
1821265760 Carly M. Smith Chiropractor 7716 W. North, Elmwood Pk, IL 60707 2008-05-09
1497250286 Carly Ann Smith Student in an Organized Health Care Education/Training Program 9500 Euclid Ave, Cleveland, OH 44195-0002 2018-03-26
1558876805 Carly Smith Social Worker 14411 Kishwaukee Valley Rd, Woodstock, IL 60098-9631 2017-12-08
1174991350 Carly Smith Specialist/Technologist 6000 N Terminal Pkwy, Ramp Level A-27, Atlanta, GA 30320-7400 2015-09-04
1871986604 Carly Smith Physical Therapist 4154 Madison Ave, Trumbull, CT 06611-3563 2015-03-18
1952794422 Carly Parnitzke Smith Psychologist 22 Northeast Dr, Hershey, PA 17033-2732 2015-03-09
1396160503 Carly Smith Social Worker 15400 W Mcnichols Rd, Detroit, MI 48235-3724 2014-02-25

Office Location

Street Address 900 PEELER ST
City KALAMAZOO
State MI
Zip Code 49008-2300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699754820 Mary E Koterba Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2006-01-16
1659971034 Ethan John Chupka Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2020-10-27
1396342945 Janette Gustafson Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2020-10-07
1316544430 Eric J Johnson Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2020-10-01
1295341469 Remi Lynn Brackett Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2020-09-22
1508482910 Chad William Pitock Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2020-06-22
1871132654 Timothy Paul Mccoy Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2019-12-27
1578101937 John Thomas Kallas Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2019-12-17
1558903567 Frank Andrew Schymik Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2019-10-10
1639721095 Andrew Cooper Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2019-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847534 Theresa Anne Aranda Pharmacist 3016 S Westendge Ave, Kalamazoo, MI 49008 2020-07-01
1336615830 Jonathon Strefling Physical Therapist 165 N. Washington Ave, Battle Creek, MI 49008 2018-10-23
1376039826 Alexander J Hessler I Pharmacist 5121 S Westnedge Ave., Kalamazoo, MI 49008 2018-07-09
1700324415 Philip Richard Granish Psychologist 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 2017-02-02
1396195863 Kyle Bronsteen Student in an Organized Health Care Education/Training Program Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 2016-06-15
1013363449 Gwendolyn Layette Moore Home Health Aide 4441 Old Colony Road, Kalamazoo, MI 49008 2016-05-04
1982008066 Danah Kim Dentist 3130 N Westnedge Ave., Kalamazoo, MI 49008 2014-10-17
1598168874 Melissa Shields Physician Assistant Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 2014-10-01
1831508548 D2 Dental of Michigan, P.C. Dentist 3130 S Westnedge Avenue, Kalamazoo, MI 49008 2014-08-06
1558784330 Maureen Brown Pharmacist 5121 S. Westnedge Ave, Kalamazoo, MI 49008 2014-01-29
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013000462 Tamara Heaston Nurse Anesthetist, Certified Registered 900 Peeler St Ste B, Kalamazoo, MI 49008-2380 2006-09-30
1699754820 Mary E Koterba Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2006-01-16
1316544430 Eric J Johnson Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2020-10-01
1558903567 Frank Andrew Schymik Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2019-10-10
1639721095 Andrew Cooper Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2019-07-15
1013484153 Joseph Aikens Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2018-10-26
1356841738 Jonathan Dale Hasseler Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2018-02-13
1235675455 Jacob Todd Alberda Nurse Anesthetist, Certified Registered 900 Peeler St Ste B, Kalamazoo, MI 49008-2380 2017-01-11
1689119679 Alyssa Krudy-newby Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2016-12-29
1538604772 Trent Herman Nurse Anesthetist, Certified Registered 900 Peeler St, Kalamazoo, MI 49008-2300 2016-12-26
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Competitor

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City KALAMAZOO
Zip Code 49008

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Dataset Information

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.

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