JEREME STEPHEN SMITH (NPI# 1487101531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487101531 |
| Entity Type | Individual |
| Full Name | JEREME STEPHEN SMITH |
| Credential | PA-C |
| Practice Address |
440 Woodward Ave Iron Mountain MI 49801-4631 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9067769040 |
| Practice Fax Number | 9067745950 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007871 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN DRL LICENSE | 4679-23 | 01 |
| NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS | 1137621 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2820 Roosevelt Rd, Marinette, WI 541433834 | 7157355225 | 7157355388 |
| Street Address |
440 WOODWARD AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189663 | Alexander Shelton Judy | Family Medicine | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2005-07-21 |
| 1710517883 | Nikisha Blue Waters Zanon | Social Worker | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2020-01-17 |
| 1891352605 | Caitlin H Winters | Occupational Therapist | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-28 |
| 1215593660 | Alicia Katherine Barnes | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-10 |
| 1699225672 | Bellin Memorial Hospital Inc | Occupational Therapist | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-10-13 |
| 1205287604 | Bellin Psychiatric Center Inc | Counselor | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-06-27 |
| 1710347901 | Shanon David Montgomery | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-03-01 |
| 1023477056 | Daniel Brian Johnson | Registered Nurse | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-02-18 |
| 1861866923 | Samantha Anne Harrison | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2015-11-30 |
| 1568870004 | Michael F Duckwall | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| 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 |
|---|---|---|---|---|
| 1417411760 | Dickinson County Healthcare System | Physician Assistant | 1711 S Stephenson Ave Ste 205, Iron Mountain, MI 49801-3649 | 2019-01-30 |
| 1447743257 | Korby Jon Howell | Physician Assistant | 1711 S Stephenson Ave Ste 210, Iron Mountain, MI 49801-3649 | 2018-06-07 |
| 1285153940 | Emma Leigh Foster | Physician Assistant | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2017-09-14 |
| 1598113177 | Lane Scott Lindeman | Physician Assistant | 1711 S Stephenson Ave Ste 100, Iron Mountain, MI 49801-3648 | 2016-05-24 |
| 1417325879 | Megan R. Collins | Physician Assistant | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2015-09-02 |
| 1841546330 | Dickinson County Healthcare System | Physician Assistant | 1711 S Stephenson Ave Ste 320, Iron Mountain, MI 49801-3650 | 2012-08-02 |
| 1760750889 | Mary Therese Fornetti | Physician Assistant | 325 E H St, Iron Mountain, MI 49801-4760 | 2011-12-03 |
| 1063700854 | Laura L Vivio-karle | Physician Assistant | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2011-07-14 |
| 1699082610 | Vanessa Hope Mitchell | Physician Assistant | 1711 S Stephenson Ave Ste 210, Iron Mountain, MI 49801-3649 | 2010-09-13 |
| 1447449053 | Heather Lynn Hayes | Physician Assistant | 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 | 2007-10-19 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
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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.