MR. SCOTT MICHAEL SMITH (NPI# 1285950188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285950188 |
| Entity Type | Individual |
| Full Name | MR. SCOTT MICHAEL SMITH |
| Credential | P.A. |
| Practice Address |
1395 N Courtenay Pkwy Suite 208 Merritt Island FL 32953-4400 |
| Mailing Address |
700 Fawn Lily Ct Oviedo FL 32766-6611 |
| Practice Telephone | 3215297300 |
| Practice Fax Number | 3218771136 |
| Mailing Telephone | 7324562308 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9101218 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544808 | Scott Adam Smith | Specialist | 5602 184th St, Fresh Meadows, NY 11365-2215 | 2017-01-16 |
| 1184068918 | Scott Michael Smith | Dentist | 5819 Highway 6 Ste 350, Missouri City, TX 77459-4070 | 2013-04-23 |
| 1780926931 | Scott Adam Smith | Orthopaedic Surgery | 17600 Shamrock Blvd, Westfield, IN 46074-7002 | 2013-03-25 |
| 1811244155 | Scott Allen Smith | Counselor | 300 Trophy Club Dr., Ste. 600, Trophy Club, TX 76262-5416 | 2012-08-06 |
| 1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
| 1043516305 | Scott A Smith | Occupational Therapist | 35634 E County Road 1540, Pauls Valley, OK 73075-8722 | 2011-02-03 |
| 1508099284 | Scott Cameron Smith | Dentist | 25099 Starr St, Loma Linda, CA 92354-2813 | 2009-08-28 |
| 1205062270 | Scott Matthew Smith | Psychologist | 5755 Violeta Ave, Atascadero, CA 93422-3125 | 2009-06-04 |
| 1487815031 | Scott Smith | Social Worker | 700 W University Dr, #139, Tempe, AZ 85281-3467 | 2008-06-17 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| Street Address |
1395 N COURTENAY PKWY SUITE 208 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114918380 | Diane Luciani | Internal Medicine | 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953-4400 | 2005-11-04 |
| 1073124236 | Sky Knott | Physical Therapist | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-08-12 |
| 1356950620 | Victoria Faith Gough | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-23 |
| 1295343606 | Brandon Livingston | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-22 |
| 1669080024 | Samantha Erisman | Physical Therapy Assistant | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2020-07-21 |
| 1790163582 | Ryan Stoltzfus | Physical Therapist | 1395 N Courtenay Pkwy, Merritt Island, FL 32953-4400 | 2015-05-12 |
| 1346509049 | Central Florida Holistic Health and Wellness Consultants LLC | Acupuncturist | 1395 N Courtenay Pkwy, Suite 202, Merritt Island, FL 32953-4400 | 2012-05-15 |
| 1780942268 | Michelle Rene Connell | Acupuncturist | 1395 N Courtenay Pkwy, Suite 202, Merritt Island, FL 32953-4400 | 2012-05-02 |
| 1487956777 | Lauren Lynch | Occupational Therapist | 1395 N Courtenay Pkwy, 102, Merritt Island, FL 32953-4400 | 2010-11-19 |
| 1619101573 | Milarn Corporation | Clinic/Center | 1395 N Courtenay Pkwy, Suite 207, Merritt Island, FL 32953-4400 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265763916 | Daniel J Calabrese | Physician Assistant | 270 N Sykes Creek Pkwy Ste 202, Merritt Island, FL 32953-3494 | 2010-01-20 |
| 1568432748 | Mary Elizabeth Holtham | Physician Assistant | 595 N Courtenay Pkwy Ste 206, Merritt Island, FL 32953-4851 | 2006-01-23 |
| 1497158083 | Christopher L Johnson | Physician Assistant | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2014-09-26 |
| 1780980573 | Leigh Ann Nova | Physician Assistant | 595 N Courtenay Pkwy Ste 101, Merritt Island, FL 32953-4852 | 2011-01-27 |
| 1073544607 | Ronald B Armstrong | Physician Assistant | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3490 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
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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.