MRS. MARYBETH SMITH (NPI# 1285934604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285934604 |
| Entity Type | Individual |
| Full Name | MRS. MARYBETH SMITH |
| Other Name | MARYBETH BAUMBERGER |
| Credential | APN, FNP-C |
| Practice Address |
10724 State Route 212 Ne Bolivar OH 44612-8740 |
| Practice Telephone | 3308747165 |
| Practice Fax Number | 3308747166 |
| Mailing Telephone | 3308747165 |
| Mailing Fax Number | 3308747166 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11140 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0127945 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740476092 | Marybeth Smith | Speech-Language Pathologist | 1101 Health Professions Building, Mt Pleasant, MI 48859-0001 | 2007-09-20 |
| Street Address |
10724 STATE ROUTE 212 NE |
| City | BOLIVAR |
| State | OH |
| Zip Code | 44612-8740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248840 | Mark Andrew Hillyer | Family Medicine | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 2006-03-14 |
| 1376172866 | Orrville Hospital Foundation | Clinic/Center | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 2020-04-06 |
| 1679513881 | Harry G Mcdonnell | Family Medicine | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 2006-06-07 |
| 1497723613 | Matthew E Hiestand | Internal Medicine | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221473 | Robert Charles Ritchie | Home Health Aide | 9990 Hess Mill Rd, Apt C, Bolivar, OH 44612 | 2016-08-31 |
| 1679659635 | Bolivar Volunteer Fire Department, Inc. | Ambulance | 456 Water Street, Bolivar, OH 44612 | 2006-10-31 |
| 1639129513 | William Wray Emley Jr. | Chiropractor | 10948 State Route 212 Ne, Suite A, Bolivar, OH 44612 | 2006-05-11 |
| 1417363300 | Sylvia Jade Evans | Nurse's Aide | 801 Kerns Dr Ne, Apt B, Bolivar, OH 44612-8201 | 2014-07-11 |
| 1124484548 | Gabrielle Laux | Speech-Language Pathologist | 8404 French Hill Rd Nw, Bolivar, OH 44612-8413 | 2016-01-14 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1376007849 | Kevin M Spicer | Prosthetist | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1205261617 | Bethany Bair | Counselor | 1182 Bimeler St Ne, Bolivar, OH 44612-8665 | 2013-09-05 |
| 1225432610 | Jessica Heitman | Occupational Therapist | 1129 Fieldstone Cir Ne, Bolivar, OH 44612-8666 | 2014-10-15 |
| 1639128291 | Kelly Anne Farrell | Chiropractor | 387 Edgebrook Rd Ne, Bolivar, OH 44612-8706 | 2006-05-09 |
| Find all providers in zip 44612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457803363 | Brandy Yarnell | Nurse Practitioner | 2520 S Springfield Ave, Bolivar, MO 65613-9691 | 2016-10-26 |
| 1144636119 | Gregary Byers | Nurse Practitioner | 107 Tennessee St, Bolivar, TN 38008-1822 | 2014-07-10 |
| 1780908228 | Miracle Healthcare LLC | Nurse Practitioner | 649b W Mcneal St, Bolivar, TN 38008-2519 | 2010-03-25 |
| 1538273396 | Marceleen K. Powell | Nurse Practitioner | 1120 S Springfield Ave, Bolivar, MO 65613-2512 | 2006-08-18 |
| 1023066057 | Tammi L Ferguson | Nurse Practitioner | 1700 W Market St, Suite J, Bolivar, TN 38008-1653 | 2006-05-04 |
| 1083679104 | Oma L Shelton | Nurse Practitioner | 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613-9133 | 2006-04-20 |
| 1750999231 | Bethany Martin | Nurse Practitioner | 1501 N Oakland Ave, Bolivar, MO 65613-3020 | 2020-07-21 |
| 1104474741 | Kaylee Jaynelle Ankrom | Nurse Practitioner | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2019-08-27 |
| 1164074175 | Courtney Marie Brummel | Nurse Practitioner | 1120 S Springfield Ave, Bolivar, MO 65613-2512 | 2019-07-10 |
| 1194211664 | Olivia Jenae Cumley | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2018-07-07 |
| Find all providers in BOLIVAR | ||||
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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.