LAURA C SMITH (NPI# 1366428203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366428203 |
| Entity Type | Individual |
| Full Name | LAURA C SMITH |
| Credential | PA |
| Practice Address |
1813 W Harvard Ave Ste 310 Roseburg OR 97470-2756 |
| Mailing Address |
1813 W Harvard Ste 310 Roseburg OR 97470-5653 |
| Practice Telephone | 5416727546 |
| Practice Fax Number | 5416758446 |
| Mailing Telephone | 5416727546 |
| Mailing Fax Number | 5416758446 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00905 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEPT OF LABOR AND INDUSTRIES | 0245490 | 01 |
| OR | 151228 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538509 | Laura Langford Smith | Speech-Language Pathologist | 7309 Janna Dr, Abilene, TX 79606-5323 | 2020-11-04 |
| 1851907190 | Laura Ann Smith | Dental Hygienist | 2500 Wallington Way Ste 204, Marriottsville, MD 21104-1507 | 2020-09-22 |
| 1093330557 | Laura H Smith | Dietitian, Registered | 9821 Fair Oaks Blvd Ste B, Fair Oaks, CA 95628-7050 | 2020-06-10 |
| 1447892443 | Laura Leann Smith | Nurse Practitioner | 851 W 6th St, Austin, TX 78703-5403 | 2019-10-10 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1639728157 | Laura May Smith | Specialist/Technologist, Other | 38c E Hollis St, Nashua, NH 03060-2916 | 2019-09-06 |
| 1528613098 | Laura Smith | Rehabilitation Practitioner | 6500 N 10th St Ste K1, Mcallen, TX 78504-3960 | 2019-08-01 |
| 1134622822 | Laura Louise Smith | Counselor | 1570 Lakeview Ave, Dracut, MA 01826-3311 | 2018-03-09 |
| 1689174500 | Laura Louise Smith | Technician | 800 N Rhomberg St Apt 3, Burnet, TX 78611-1926 | 2018-02-16 |
| 1801300900 | Laura Alicia Smith | Social Worker | 730 Linden Blvd, Brooklyn, NY 11203-3458 | 2017-11-28 |
| Street Address |
1813 W HARVARD AVE STE 310 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982054169 | Sarah Vouch | Physician Assistant | 1813 W Harvard Ave Ste 310, Roseburg, OR 97471-2756 | 2016-06-17 |
| 1437535077 | Winthrop T Head | Physician Assistant | 1813 W Harvard Ave Ste 310, Roseburg, OR 97471-2756 | 2015-08-05 |
| 1770986051 | Jody Michelle Zurita | Nurse Practitioner | 1813 W Harvard Ave Ste 310, Roseburg, OR 97471-2756 | 2014-10-01 |
| 1407055437 | Paul D. Reicherter, Md, PC | Dermatology | 1813 W Harvard Ave Ste 310, Roseburg, OR 97471-2756 | 2007-07-11 |
| 1700858289 | Margot Ouimette | Physician Assistant | 1813 W Harvard Ave Ste 310, Roseburg, OR 97470-2756 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740444033 | Michelle Yvonne Lopera-ottenheimer | Physician Assistant | 2880 Nw Stewart Pkwy Ste 200, Suite 203, Roseburg, OR 97471-1204 | 2008-07-15 |
| 1508028721 | Curtis J Cole | Physician Assistant | 913 Garden Valley Road, Roseburg, OR 97471-4218 | 2008-06-29 |
| 1043823792 | Amanda Garner | Physician Assistant | 2282 Nw Troost St Ste 103, Roseburg, OR 97471-6072 | 2020-08-24 |
| 1437535077 | Winthrop T Head | Physician Assistant | 1813 W Harvard Ave Ste 310, Roseburg, OR 97471-2756 | 2015-08-05 |
| 1912255191 | Brianna Nicole Lafayette Posen | Physician Assistant | 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | 2012-08-20 |
| 1174700934 | Matthew T Stark | Physician Assistant | 1937 W Harvard Ave, Roseburg, OR 97471-2720 | 2008-01-23 |
| 1851431597 | Cynthia J Keys | Physician Assistant | 340 Nw Medical Loop, Roseburg, OR 97471-1645 | 2007-02-08 |
| 1851481725 | Melissa Marie Moore | Physician Assistant | 2570 Nw Edenbower Blvd, #100, Roseburg, OR 97471 | 2006-10-13 |
| 1417928672 | Debra Ann Daniels | Physician Assistant | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
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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.