CHRISTIAN ZACH SMITH (NPI# 1295233369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295233369 |
Entity Type | Individual |
Full Name | CHRISTIAN ZACH SMITH |
Credential | CPO |
Practice Address |
2333 Knob Creek Rd Ste 14 Johnson City TN 37604-2007 |
Practice Telephone | 4234613320 |
Practice Fax Number | 4234613314 |
Mailing Telephone | 4234613320 |
Mailing Fax Number | 4234613314 |
Enumeration Date | 2018-01-24 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1454184 | 05 | |
NC | 1457443624 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
166d Market Place Blvd, Knoxville, TN 379222337 | 8652498852 | 8652498674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809588 | Christian Smith | Physician Assistant | 18181 Pearl Rd Ste B104, Strongsville, OH 44136-6950 | 2018-11-05 |
1134201478 | Christian Jerril Smith | Psychiatry & Neurology | Psc 9 Box 0, Apo, AE 09123-9998 | 2006-10-19 |
1134125511 | Christian Charles Smith | Podiatrist | 8055 Club Pkwy, Cordova, TN 38016-5967 | 2005-06-22 |
1366079493 | Christian Smith | Student in an Organized Health Care Education/Training Program | 5169 S Cottonwood St Ste 303, Murray, UT 84107-6768 | 2020-03-26 |
1033672522 | Christian Ray Smith | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-04-10 |
1386129237 | Christian D Smith | Counselor | 1600 Liberty Pl, Sicklerville, NJ 08081-5705 | 2018-09-26 |
1902321300 | Christian Adaire Smith | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2017-08-07 |
1295004489 | Christian Smith | Occupational Therapy Assistant | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2011-12-19 |
1588962849 | Christian Smith | Social Worker | 661 Front St, Chicopee, MA 01013-3146 | 2011-03-09 |
1881990968 | Christian A Smith | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2011-02-07 |
Street Address |
2333 KNOB CREEK RD STE 14 |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-2007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457443624 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 2333 Knob Creek Rd Ste 14, Johnson City, TN 37604 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467857243 | Tammy Kim Almond | Prosthetist | 109 Broyles Dr, Suite A, Johnson City, TN 37601 | 2014-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851853865 | Marjorie D. Branch | Prosthetist | 949 E Brooks Rd, Memphis, TN 38116-3100 | 2019-04-01 |
1316415987 | Juliette Primm | Prosthetist | 1710 Sheila Ann Dr, Mount Juliet, TN 37122-3295 | 2018-11-12 |
1588146872 | Paula A Cobbs | Prosthetist | 6295 Summer Ave, Memphis, TN 38134-5982 | 2018-09-03 |
1730678590 | Hal Medical O&p Tennessee, LLC | Prosthetist | 135 N 1st St Ste A, Pulaski, TN 38478-3225 | 2018-05-08 |
1134621907 | Ava Lawanda Freeman | Prosthetist | 285 Dover Rd Ste 7, Clarksville, TN 37042-4155 | 2018-03-07 |
1861911497 | Pampered Health Cosmedic Studio, LLC | Prosthetist | 2528 Labonte Dr, Memphis, TN 38127-3608 | 2017-09-14 |
1073037248 | Unique Boutique | Prosthetist | 1127 N Eastman Rd Ste A, Kingsport, TN 37664-3165 | 2017-07-31 |
1992239578 | David Seaman | Prosthetist | 6807 Summer Ave, Bartlett, TN 38134-4742 | 2017-04-20 |
1871748178 | Gary Lee Howell | Prosthetist | 800 Stonegate Rd., Kingsport, TN 37660 | 2008-12-01 |
1720120900 | John Kevin Gardner | Prosthetist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2007-02-13 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 37604 |
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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.