MATTHEW SMITH


Address: 1424 Randall Park Dr, Knoxville, TN 37922
Phone: 5094384827

MATTHEW SMITH (NPI# 1366959314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366959314
Entity Type Individual
Full Name MATTHEW SMITH
Practice Address 1424 Randall Park Dr
Knoxville
TN 37922
Mailing Address Po Box 3360
Portland
OR 97208-3360
Practice Telephone 5094384827
Mailing Telephone 8667472455
Enumeration Date 2017-12-29
Last Update Date 2018-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60824724 WA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA STATE LICENSE PA60824724 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1424 Randall Park Dr, Knoxville, TN 379227140 5094384827

Other Providers MATTHEW SMITH

NPI Name Taxonomy Address Enumeration
1568063469 Matthew James Smith Social Worker 24799 Purcell Rd, South Bloomingville, OH 43152-9740 2020-11-06
1003433277 Matthew P Smith Massage Therapist 1733 E 22nd Ave Apt 1, Denver, CO 80205-5588 2020-07-02
1093332017 Matthew Craig Smith Dentist 7033 Stantonsburg Rd, Farmville, NC 27828-9031 2020-06-26
1235790221 Matthew Smith Physical Therapist 185 Hickory Ln, Washington Court House, OH 43160-9406 2019-06-21
1639739345 Matthew Douglas Smith Dentist 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 2019-06-14
1386128288 Matthew Smith Counselor 621 E Erie Highway, Hamilton, OH 45011 2018-09-18
1427530591 Matthew Smith Nurse Practitioner 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 2018-09-05
1114446002 Matthew R Smith Counselor 1801 E 5th St Ste 208, Charlotte, NC 28204-3400 2017-09-12
1518495241 Matthew Smith Internal Medicine 200 Hawkins Dr Dept Intmed, Iowa City, IA 52242-1009 2017-05-25
1285169557 Matthew Smith Orthotist 213 Taylor St Apt 2, Pittsburgh, PA 15224-1843 2017-04-25

Office Location

Street Address 1424 RANDALL PARK DR
City KNOXVILLE
State TN
Zip Code 37922

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184132185 Kimberly Zitko Pharmacist 400 Goody's Lane, Knoxville, TN 37922 2018-01-12
1174052823 24/7 Healthcare, Inc. Nursing Care 110 Center Park Drive, Suite 101, Knoxville, TN 37922 2017-06-07
1023543477 Open Arms Care Corp Intermediate Care Facility, Mentally Retarded 12625 S Northshore Dr, Knoxville, TN 37922 2017-04-24
1275905440 Milligan Surgical Associates, Pllc Surgery 1919 Pinnacle Pointe Way, Knoxville, TN 37922 2015-10-27
1275904096 Medical Necessities & Services LLC Durable Medical Equipment & Medical Supplies 9327 S Northshore Dr, Knoxville, TN 37922 2015-10-20
1841668126 Chad Szala Behavioral Analyst 10721 Chapman Hwy #22, Knoxville, TN 37922 2015-09-03
1275916470 Nikki Nicole Peoples Acupuncturist 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 2015-07-07
1538577747 Susan Carter Optometrist 2053 Thunderhead Rd, Knoxville, TN 37922 2014-07-31
1366868135 Heartland Infusion Clinic/Center 9943 Kingston Pike, Knoxville, TN 37922 2014-03-17
1205277977 Dawn M Fortich Social Worker 194 Market Place Blvd, Knoxville, TN 37922 2013-07-10
Find all providers in zip 37922

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770198061 John Intemann Physician Assistant 2708 Swafford Rd, Knoxville, TN 37932-1311 2020-09-13
1942839311 Melissa Joanne O'neill Physician Assistant 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 2020-04-07
1447895370 Keiana Skinner Physician Assistant 2206 Finley Cane Ln, Knoxville, TN 37932-1572 2019-11-14
1780231068 Kaycee Heitzman Physician Assistant 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 2019-08-21
1366009169 John Powell Williams Iv Physician Assistant 501 19th St Ste 503, Knoxville, TN 37916-1874 2019-05-28
1508423369 Bradley-james Ryan Faulkner Physician Assistant 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 2019-05-28
1316406499 David M Beauchamp Physician Assistant 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 2019-03-18
1568920593 Richard Ervin Birmingham II Physician Assistant 304 Bagwell Rd, Knoxville, TN 37924-2813 2019-03-08
1710443080 Devon Meske Herrin Physician Assistant 6484 Kingston Pike, Knoxville, TN 37919-4863 2019-02-12
1780149070 Shelby Paige Bean Physician Assistant 7661 Red Bay Way, Knoxville, TN 37919-4722 2019-01-31
Find all providers in KNOXVILLE

Competitor

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City KNOXVILLE
Zip Code 37922

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Dataset Information

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.

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