DR. GREGORY N SMITH (NPI# 1508868464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508868464 |
| Entity Type | Individual |
| Full Name | DR. GREGORY N SMITH |
| Credential | MD |
| Practice Address |
1250 S 18th St Suite 204 Fernandina Beach FL 32034-1902 |
| Mailing Address |
1325 San Marco Blvd Suite 200 Jacksonville FL 32207-8568 |
| Practice Telephone | 9042618787 |
| Practice Fax Number | 9042619353 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9042619353 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME66525 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 200029264 | 01 |
| FL | 253374000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870635 | Gregory Robert Smith | In Home Supportive Care | 3954 Mount Vernon Blvd Apt 1b, Norton, OH 44203-9512 | 2020-10-28 |
| 1376012740 | Gregory Roy Smith Sr. | Counselor | Alleeweg 2, Velburg, BAVARIA 92355 | 2018-11-15 |
| 1609398528 | Gregory Allen Smith | Community Health Worker | 203 Clark Dr, Columbia, TN 38401 | 2017-07-12 |
| 1629503438 | Gregory Smith | Massage Therapist | 3819 Cambria Pl, Colorado Springs, CO 80918-2362 | 2017-04-29 |
| 1598120362 | Gregory Smith | Counselor | 2124 Moores Mill Rd, Auburn, AL 36830-8468 | 2015-12-22 |
| 1902270945 | Gregory Carleton Smith | Marriage & Family Therapist | 1924 4th Street, San Rafael, CA 94901 | 2015-11-13 |
| 1124414370 | Gregory Smith | Anesthesiology | 567 Sand Hill Rd, Wantagh, NY 11793-1312 | 2015-04-14 |
| 1033515762 | Gregory Allan Smith | Chiropractor | 1300 N Bryant Ave, Ste. 100, Moore, OK 73160 | 2014-11-06 |
| 1326450735 | Gregory Smith | Massage Therapist | 5029 Shaw Ave, Saint Louis, MO 63110-3021 | 2014-05-20 |
| 1972882603 | Gregory Douglas Smith | Pharmacist | 6580 Snowdrift Rd, Suite 100, Allentown, PA 18106-9331 | 2011-08-11 |
| Street Address |
1250 S 18TH ST SUITE 204 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205289303 | Abigail Lee Mazingo | Nurse Practitioner | 1250 S 18th St, 202, Fernandina Beach, FL 32034-1902 | 2016-07-13 |
| 1770987869 | Amelia Phillips | Nurse Practitioner | 1250 S 18th St, 201, Fernandina Beach, FL 32034-1902 | 2014-10-17 |
| 1508103540 | Amelia Anesthesia, Pl | Anesthesiology | 1250 S 18th St, Anesthesia Department, Fernandina Beach, FL 32034-1902 | 2013-01-10 |
| 1871856146 | Raeann Alboher | Nurse Practitioner | 1250 S 18th St, Suite 201, Fernandina Beach, FL 32034-1902 | 2012-06-20 |
| 1003147661 | Surgical Team Services, LLC | Technician, Other | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2010-01-21 |
| 1568798437 | Michelle Patricia Goshert | Physical Therapist | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2009-10-27 |
| 1538399738 | Jason Stuart Kelly | Anesthesiology | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2009-07-22 |
| 1306083589 | Lynne Alford Grinold | Registered Nurse | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2009-01-09 |
| 1841467628 | Emergency Physicians Inc | Emergency Medicine | 1250 S 18th St, Fernandina Beach, FL 32034-1902 | 2008-05-12 |
| 1932378973 | Tae Yung Rho | Pediatrics | 1250 S 18th St, Suite 201, Fernandina Beach, FL 32034-1902 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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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.