DR. JEFFREY DANIEL SMITHERS (NPI# 1437370806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437370806 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DANIEL SMITHERS |
| Credential | M.D. |
| Practice Address |
583 S Clarizz Blvd Bloomington IN 47401-5515 |
| Practice Telephone | 8123332663 |
| Practice Fax Number | 8123499206 |
| Mailing Telephone | 8123332663 |
| Mailing Fax Number | 8123499206 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01075102A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
01075102A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01075102A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201291450 | 05 |
| Street Address |
583 S CLARIZZ BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619958782 | Jayne Crescimbeni-pierce | Nurse Practitioner | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2005-11-07 |
| 1407404866 | Jenna Grile | Registered Nurse | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2019-08-29 |
| 1770038069 | Supriya Kairamkonda | Psychiatry & Neurology | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2016-08-17 |
| 1336511591 | Ryan Taylor | Physical Therapist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2015-10-28 |
| 1063815389 | Laurie Susan Allen | Occupational Therapist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-10-01 |
| 1427476696 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-04-03 |
| 1437598596 | Stephanie Danielle Van Heerden | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2013-06-21 |
| 1477875938 | Mehyar Mehrizi | Psychiatry & Neurology | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2010-02-24 |
| 1518198639 | Gene Devane | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2009-08-06 |
| 1316173727 | Jennifer Black | Physician Assistant | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2009-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191036 | Bloomington Bone & Joint Clinic, PC | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2006-07-07 |
| 1710213673 | Bromenn Physician Management Corporation | Internal Medicine | 2406 E Empire St, Bloomington, IL 61704-3630 | 2009-10-28 |
| 1811049380 | Erich J Weidenbener | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403 | 2007-01-17 |
| 1720030752 | C. Andrew Hunt | Internal Medicine | 8100 Northland Dr, Bloomington, MN 55431 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095769 | Michael D Krauss | Internal Medicine | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2005-10-05 |
| 1770570616 | Gregory A Rowdon | Internal Medicine | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2005-10-05 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| 1629321229 | Mary Apiafi Moore | Internal Medicine | 3512 S Lafountain St, Kokomo, IN 46902-3803 | 2012-10-19 |
| 1245506922 | Thomas A Brady Sports Medicine Ctr | Internal Medicine | 1401 W County Line Rd, Greenwood, IN 46142-5195 | 2012-03-28 |
| 1255446399 | Stephen Howard Montaldi | Internal Medicine | 1007 N 16th St, New Castle, IN 47362-4319 | 2006-08-20 |
| 1295741981 | Jared W. Jones | Internal Medicine | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-08-01 |
| City | BLOOMINGTON |
| Zip Code | 47401 |
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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.