MRS. MEGAN KRISTEN SMITH (NPI# 1457522740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457522740 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN KRISTEN SMITH |
| Credential | PA-C |
| Practice Address |
2800 S California Ave Chicago IL 60608-5107 |
| Practice Telephone | 7738697488 |
| Practice Fax Number | 7738693578 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003123 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841813862 | Megan Nicole Smith | Nurse Practitioner | 3640 Ivanrest Ave Sw, Grandville, MI 49418-2026 | 2020-05-26 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1255800769 | Megan Smith | Counselor | 2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834 | 2018-11-14 |
| 1598230492 | Megan Smith | Nurse Practitioner | 520 Nissan Powertrain Dr, Decherd, TN 37324-4088 | 2018-10-06 |
| 1740762988 | Megan Nicole Smith | Physical Therapist | 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606 | 2018-09-04 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1407349988 | Megan Elizabeth Smith | Pharmacist | 460 W 10th Ave # L012, Columbus, OH 43210-1240 | 2018-06-11 |
| 1194224394 | Megan Marie Smith | Social Worker | 1859 W Chateau Ave, Taylorsville, UT 84129-1313 | 2018-02-02 |
| 1053863134 | Megan Margaret Smith | Occupational Therapist | 433 Sherman Rd, Springfield, PA 19064-1933 | 2016-10-25 |
| 1700337342 | Megan K Smith | Behavioral Analyst | 732 N Broadway St, Greensburg, IN 47240-1303 | 2016-10-19 |
| Street Address |
2800 S CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295759033 | John Michael Raba | Internal Medicine | 2800 S California Ave, Chicago, IL 60608-5107 | 2006-07-26 |
| 1093216855 | Arielle Douglas | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2018-02-26 |
| 1700391794 | Alina M Colon | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2017-12-12 |
| 1538672977 | Brittany Ellen Wilkins | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2017-11-08 |
| 1376088542 | Mary-ellen Martinez | Psychologist | 2800 S California Ave, Chicago, IL 60608-5107 | 2016-12-27 |
| 1093258246 | John H Stroger Hospital of Cook County | Rehabilitation Unit | 2800 S California Ave, Chicago, IL 60608 | 2016-11-21 |
| 1649720004 | Andrew Greiner | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2016-10-10 |
| 1386002251 | Olamide Taiwo | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2016-02-05 |
| 1528439221 | Daniel Kaczrowski | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2015-10-07 |
| 1629445242 | Gina Chung | Physician Assistant | 2800 S California Ave, Chicago, IL 60608-5107 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| Find all providers in CHICAGO | ||||
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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.