MARGUERITE JEAN SMITH (NPI# 1417931395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417931395 |
| Entity Type | Individual |
| Full Name | MARGUERITE JEAN SMITH |
| Credential | ANP |
| Practice Address |
33 N Central Ave Suite 425 Medford OR 97501-5900 |
| Mailing Address |
Po Box 965 Medford OR 97501-0069 |
| Practice Telephone | 5417795877 |
| Practice Fax Number | 5416643287 |
| Mailing Telephone | 5417795877 |
| Mailing Fax Number | 5416643287 |
| Enumeration Date | 2005-12-03 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
79042695 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 276809 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336588839 | Marguerite Y. Smith | Community Health Worker | 6179 Deewood Ct S, Columbus, OH 43229-2208 | 2013-06-18 |
| 1316430416 | Marguerite Regina Smith | Speech-Language Pathologist | 41 Old Oyster Point Rd Ste E, Newport News, VA 23602-7177 | 2018-06-13 |
| 1407963440 | Marguerite Tarrant Smith | Social Worker | 320 Central Park W, Suite 12a, New York, NY 10025-7659 | 2006-08-24 |
| 1487635983 | Marguerite Smith | Family Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-10 |
| Street Address |
33 N CENTRAL AVE SUITE 425 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272715 | Rick Jacobs | Psychologist | 33 N Central Ave, Medford, OR 97501-5939 | 2005-08-16 |
| 1083091540 | Derrick James Lanning | Peer Specialist | 33 N Central Ave, 419, Medford, OR 97501-5900 | 2015-05-04 |
| 1568864429 | Carol Law | Counselor | 33 N Central Ave, Suite 207, Medford, OR 97501-5900 | 2014-09-23 |
| 1215278122 | Jeffrey S Danzik | Social Worker | 33 N Central Ave, 400, Medford, OR 97501-5900 | 2013-03-04 |
| 1245409788 | Jerem St John Egan | Massage Therapist | 33 N Central Ave, Suite 410, Medford, OR 97501-5900 | 2008-02-28 |
| 1417166455 | Shirley Laraine Johnson | Social Worker | 33 N Central Ave, Suite 320, Medford, OR 97501-5900 | 2007-05-22 |
| 1326177833 | Rita Heinz | Social Worker | 33 N Central Ave, Medford, OR 97501-5900 | 2007-03-02 |
| 1568568707 | Mb Healthcare Associates Inc | Specialist | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2006-09-15 |
| 1447286927 | Jennifer J. Hibbs | Social Worker | 33 N Central Ave, Ste. #416, Medford, OR 97501-5900 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216743 | Lisa Susan Williams | Nurse Practitioner | 76 Southaven Ave Ste 5, Medford, NY 11763-3745 | 2019-07-07 |
| 1003839424 | Christine Ann Stanek | Nurse Practitioner | 2859 State Street, Suite 101, Medford, OR 97504 | 2006-07-26 |
| 1114997244 | Eileen Weldon Stiles | Nurse Practitioner | 520 Medical Center Drive, Suite 201, Medford, OR 97504-4434 | 2006-01-23 |
| 1134129133 | Barbara Anne Stewart | Nurse Practitioner | 2960 Doctors Park Dr, Medford, OR 97504-8127 | 2005-08-01 |
| 1295391985 | Kag Professional Nurse Practioner In Adult Health Pllc | Nurse Practitioner | 3115 Horseblock Rd, Medford, NY 11763-2526 | 2019-05-17 |
| 1013458405 | Elysian Health | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2017-03-17 |
| 1801335336 | Julia Ann Smith | Nurse Practitioner | 811 W Broadway Ave, Medford, WI 54451-1307 | 2017-02-16 |
| 1528506334 | Rebecca Rampton | Nurse Practitioner | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-02-01 |
| 1700238623 | Courtney Nicholas | Nurse Practitioner | 1723 N Ocean Ave, Medford, NY 11763-2687 | 2016-07-02 |
| 1871983353 | Nancy Obispo | Nurse Practitioner | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2015-02-04 |
| Find all providers in MEDFORD | ||||
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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.