JOHN BRADLEY SMITH (NPI# 1477667046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477667046 |
| Entity Type | Individual |
| Full Name | JOHN BRADLEY SMITH |
| Credential | PCC |
| Practice Address |
6825 N State Route 66 Defiance OH 43512-6730 |
| Mailing Address |
Po Box 8970 Toledo OH 43623-0970 |
| Practice Telephone | 4197824196 |
| Mailing Telephone | 4197824196 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E0003984 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1366526782 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
6825 N STATE ROUTE 66 |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-6730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518510122 | Penny Sue Wallace | Community Health Worker | 6825 N State Route 66, Defiance, OH 43512-6730 | 2019-07-23 |
| 1992291785 | Kimberly Grubmiller | Case Manager/Care Coordinator | 6825 N State Route 66, Defiance, OH 43512-6730 | 2018-07-05 |
| 1710374228 | Tamara Hartman | Social Worker | 6825 N State Route 66, Defiance, OH 43512-6730 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217428 | Augusta I Brooks | Counselor | 211 Biede Ave, Defiance, OH 43512-2497 | 2020-08-25 |
| 1003459751 | Kymberly Whitenburg | Counselor | 211 Biede Ave, Defiance, OH 43512-2497 | 2019-10-25 |
| 1942799515 | Deep Roots Wellness, LLC | Counselor | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2018-05-08 |
| 1962931253 | Erin Elting | Counselor | 211 Biede Ave, Defiance, OH 43512 | 2017-06-08 |
| 1144779257 | Cassandra Bengela | Counselor | 211 Biede Ave, Defiance, OH 43512-2408 | 2016-09-30 |
| 1639525611 | Katherine Shaffer | Counselor | 211 Biede Ave, Defiance, OH 43512-2408 | 2016-05-10 |
| 1134581085 | Emily Budowanec | Counselor | 211 Biede Ave, Defiance, OH 43512-2408 | 2016-03-21 |
| 1700129178 | Holly A Leupp | Counselor | 211 Biede Ave, Defiance, OH 43512-2408 | 2013-04-03 |
| 1710226808 | Diane Burton | Counselor | 211 Biede Ave, Defiance, OH 43512-2408 | 2013-02-08 |
| 1750696837 | Gary A Ferree | Counselor | 511 Perry St, Defiance, OH 43512-2123 | 2010-08-12 |
| Find all providers in DEFIANCE | ||||
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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.