THEODORE C SMITH (NPI# 1336506658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336506658 |
| Entity Type | Individual |
| Full Name | THEODORE C SMITH |
| Other Name | T.C. SMITH |
| Credential | CRNA |
| Practice Address |
600 East Blvd Elkhart IN 46514-2483 |
| Mailing Address |
57695 Hillside Dr Goshen IN 46528-4401 |
| Practice Telephone | 5745233193 |
| Practice Fax Number | 5745233464 |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9369122 | FL | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 7570542-3102 | UT | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 28227009A | IN | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 288227009A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932111 | Theodore L Smith | Peer Specialist | 9401 Lorain Ave # 102, Cleveland, OH 44102-4726 | 2020-04-29 |
| 1144790627 | Theodore Roosevelt Smith | Licensed Practical Nurse | 830 Ezzard Charles Drive, Cincinnati, OH 45214 | 2018-11-28 |
| 1427203157 | Theodore Vandix Smith IIi | Counselor | 71-50 Parsons Blvd., Flushing, NY 11365 | 2008-11-21 |
| 1629228408 | Theodore Michael Smith | Massage Therapist | 13818 6760 Rd, Montrose, CO 81401-7494 | 2008-09-29 |
| 1558583492 | Theodore Williams Smith | Psychiatry & Neurology | 100 Edgewood Avenue N.e., Suite 1228, Atlanta, GA 30303-3068 | 2007-05-02 |
| 1265544340 | Theodore G. Smith | Chiropractor | 639 Old Phoenix Rd, Eatonton, GA 31024-5610 | 2006-08-31 |
| 1477152924 | Theodore Smith | Social Worker | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2020-10-25 |
| 1649880758 | Theodore James Smith | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2020-08-04 |
| 1841600947 | Theodore Roosevelt Smith IIi | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-04-29 |
| 1891053435 | Theodore Smith | Home Health Aide | 2312 Rhode Island Ave Ne, Washington, DC 20018-2829 | 2012-05-02 |
| Street Address |
600 EAST BLVD |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253539 | Abuzafar M. Arif | Internal Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2005-05-23 |
| 1093316176 | Gabriel Lewis | Student in an Organized Health Care Education/Training Program | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-11-04 |
| 1003426701 | Jess Lufkin | Registered Nurse | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-08-06 |
| 1417570276 | Katherine Albright | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-05-27 |
| 1619590809 | Mary E Wendt | Dietitian, Registered | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-05-21 |
| 1457970857 | Patricia Rose Dimarzio | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-15 |
| 1043839004 | Darra Lynn Cover | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-10 |
| 1518586510 | Amy Kehlenbeck Bell | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-04-10 |
| 1558980458 | Elizabeth Langton | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-04-10 |
| 1902425903 | Kevin Knaus | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1568967461 | Miriam Kirori | Nurse Anesthetist, Certified Registered | 600 East Blvd Apt 2a, Elkhart, IN 46514-2483 | 2018-03-24 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1093169096 | Lindsay Vasil | Nurse Anesthetist, Certified Registered | 1513 E Jackson Blvd, Elkhart, IN 46516-4405 | 2016-04-16 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1548210560 | Lakeshore Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | 1755 Fulton St, Ste. A, Elkhart, IN 46514-1927 | 2006-05-11 |
| 1043288475 | Marquessa D Fisher | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2006-03-10 |
| 1205460748 | New Amsterdam Anesthesia PC | Nurse Anesthetist, Certified Registered | 500 Arcade Ave Ste 100, Elkhart, IN 46514-2478 | 2020-02-24 |
| 1083258099 | Joshua Stewart | Nurse Anesthetist, Certified Registered | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-11-01 |
| 1457916140 | Elvie J Frey Jr. | Nurse Anesthetist, Certified Registered | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-05-08 |
| Find all providers in ELKHART | ||||
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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.