DR. MARK ELLSWORTH SMITH (NPI# 1366520827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366520827 |
| Entity Type | Individual |
| Full Name | DR. MARK ELLSWORTH SMITH |
| Credential | D.D.S. P.C. |
| Practice Address |
2320 E Gala St 200 Meridian ID 83642-7091 |
| Mailing Address |
2320 E. Gala St. 200 Meridian ID 83642-4880 |
| Practice Telephone | 2088468847 |
| Practice Fax Number | 2082880786 |
| Mailing Telephone | 2088468847 |
| Mailing Fax Number | 2082880786 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-1463 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| Street Address |
2320 E GALA ST 200 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972547503 | Ana D Nielson | Optometrist | 2320 E Gala St, Suite 400, Meridian, ID 83642 | 2006-06-15 |
| 1225288202 | Daron J. Lind | Dentist | 2320 E Gala St, Ste 200, Meridian, ID 83642-7091 | 2008-09-25 |
| 1881853364 | Mark E. Smith Dds, PC | Dentist | 2320 E Gala St, Suite 200, Meridian, ID 83642-7091 | 2008-06-09 |
| 1285705772 | Nielson Eyecare Professionals PC | Optometrist | 2320 E Gala St, Suite 400, Meridian, ID 83642-7091 | 2006-11-13 |
| 1538103148 | Ryan E Nielson | Optometrist | 2320 E Gala St, Suite 400, Meridian, ID 83642-7091 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1659619609 | Eagle Smiles Dentistry and Orthodontics, PC | Dentist | 6700 N Linder Rd Ste 132, Meridian, ID 83646-6608 | 2013-01-26 |
| 1699037333 | Jon Thomas Flint | Dentist | 3512 Highway 39 N, Meridian, MS 39301-1305 | 2012-06-08 |
| 1659632529 | Quinn Allen Brown | Dentist | 2635 N Devlin Ave, Meridian, ID 83646-1566 | 2012-06-06 |
| 1083975304 | Rhett Yeakley Dmd, Pllc | Dentist | 1570 E Heritage Park St Ste 100, Meridian, ID 83646-5886 | 2012-06-04 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1619124039 | Rahil Akhtar | Dentist | 1505 S. Eagle Rd, Meridian, ID 83642 | 2008-08-27 |
| 1164684312 | Aesthetic Smiles | Dentist | 4795 N Summit Way Ste 120, Meridian, ID 83646-5017 | 2008-06-30 |
| 1881854123 | Jonathan N Scott | Dentist | 110 E. Ustick Rd., Meridian, ID 83646 | 2008-06-10 |
| 1730348236 | Southern Springs Dental Pllc | Dentist | 1910 S Meridian Rd, Ste 150, Meridian, ID 83642-9061 | 2008-06-09 |
| Find all providers in MERIDIAN | ||||
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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.