TAYLOR ABIGAIL SMYTH (NPI# 1447894639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447894639 |
| Entity Type | Individual |
| Full Name | TAYLOR ABIGAIL SMYTH |
| Credential | PA |
| Practice Address |
2500 N Detroit St Lagrange IN 46761-1158 |
| Mailing Address |
Po Box 236 Lagrange IN 46761-0236 |
| Practice Telephone | 2604632133 |
| Practice Fax Number | 2604633775 |
| Mailing Telephone | 2604632133 |
| Mailing Fax Number | 2604633775 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | 01051996A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 N Sawyer Rd, Kendallville, IN 467552566 | 2603475592 | 2603475155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477180917 | Taylor Allen Smyth | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Los Angeles, CA 90095-7419 | 2020-03-25 |
| Street Address |
2500 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518500 | Northeast Internal Medicine Associates,p.c | Internal Medicine | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2005-09-12 |
| 1821644659 | Heather Kaye Fox | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-08-16 |
| 1700430527 | Brittney M Harmeyer | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-07-30 |
| 1578054193 | Megan Marie Buuck | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2018-05-21 |
| 1114449329 | Lauren Fiandt | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-10 |
| 1073034500 | Amber N Handshoe | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-06 |
| 1962941054 | Carole S Buchs | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-02-22 |
| 1801249834 | Eleonor Vanover | Physician Assistant | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2016-07-14 |
| 1861844037 | Courtney Boggs | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2016-07-12 |
| 1558712646 | Elizabeth R. Burkhart | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| Find all providers in zip 46761 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548626 | Vivian M Hutton | Physician Assistant | 1551 Doctors Dr, Building 200, Lagrange, GA 30240-4139 | 2005-09-14 |
| 1881155182 | Christopher Adam Stanley | Physician Assistant | 1602 Vernon Rd Ste 300, Lagrange, GA 30240-4129 | 2019-03-28 |
| 1437478948 | Brandi B Daniel | Physician Assistant | 1551 Doctors Drive, Lagrange, GA 30240-4139 | 2010-05-24 |
| 1861724221 | Nicole Casimira Crane | Physician Assistant | 303 Smith St, Lagrange, GA 30240-2745 | 2010-02-09 |
| 1881723682 | Beth Ann Pendergraph | Physician Assistant | 1805 Vernon Rd, Suite B, Lagrange, GA 30240-3871 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
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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.