GREGORY D. SMITH (NPI# 1477703619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477703619 |
| Entity Type | Organization |
| Organization Name | GREGORY D. SMITH |
| Practice Address |
2412 Ring Rd Ste 200 Elizabethtown KY 42701-5913 |
| Mailing Address |
53 Mayapple Ln Elizabethtown KY 42701-8944 |
| Practice Telephone | 2707655926 |
| Practice Fax Number | 2707630051 |
| Mailing Telephone | 2707655926 |
| Mailing Fax Number | 2707630051 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | DR. GREGORY D. SMITH (OWNER) |
| Authorized Official Telephone | 2707655926 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007523 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
38746 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64087711 | 05 |
| Street Address |
2412 RING RD STE 200 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303675 | Brandon Chase Wampler | Physician Assistant | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2005-11-18 |
| 1598219412 | Bradley J Burkhart | Physician Assistant | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2016-08-09 |
| 1336529262 | Ingram & Ball, Pllc | Pharmacy | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2015-06-05 |
| 1841685112 | Joseph Walter Adams | Family Medicine | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2015-04-02 |
| 1912217902 | Angela Buckles Thomas | Nurse Practitioner | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2010-10-08 |
| 1427199645 | Carrie M Araneta | Nurse Practitioner | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922497130 | Stepworks Recovery Centers LLC | Family Medicine | 1207 Woodland Dr, Elizabethtown, KY 42701-2709 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431543 | Stephanie Caudill | Family Medicine | 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 | 2020-09-12 |
| 1083231682 | Cherawen Group | Family Medicine | 4060 Troy Pike, Versailles, KY 40383-8924 | 2020-06-30 |
| 1295357531 | Unbound Treatment, Inc. | Family Medicine | 67 Harbor Dr, Jamestown, KY 42629-8036 | 2020-05-09 |
| 1891294336 | Nanncoh LLC | Family Medicine | 700 Envoy Cir Ste 702, Louisville, KY 40299-1812 | 2018-02-11 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1922496223 | Hope Recovery Center | Family Medicine | 9300 Shelbyville Rd Ste 506, Louisville, KY 40222-5164 | 2015-01-08 |
| 1629317391 | Burns Mack Brady | Family Medicine | 1017 W. Market St., Louisville, KY 40202 | 2013-01-31 |
| 1548533482 | Laurel County Sobriety Center Pllc | Family Medicine | 1658 East 192 Bypass, London, KY 40741 | 2012-02-22 |
| 1558328179 | Paul Wilson Craig II | Family Medicine | 6500 Highway 645, Suite 110, Inez, KY 41224 | 2006-04-27 |
| 1407856057 | Anthony Wade Alvarez | Family Medicine | 820 Dolwick Dr, Erlanger, KY 41018-2774 | 2005-07-26 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.