DR. DEREK SMITH (NPI# 1518375682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518375682 |
| Entity Type | Individual |
| Full Name | DR. DEREK SMITH |
| Credential | DC |
| Practice Address |
809 Iroquois Cir Baraboo WI 53913-1248 |
| Practice Telephone | 6084080065 |
| Mailing Telephone | 6084080065 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2013007171 | MO | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2650 | TN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 4980 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496110 | Derek Jenkins Smith | Home Health Aide | 2514 24th St Ne, Washington, DC 20018-2126 | 2020-01-10 |
| 1922511765 | Derek Smith | Counselor | 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 | 2017-11-15 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1386066082 | Derek Smith | Pharmacist | 727 E Main St, Havana, IL 62644-1530 | 2014-01-15 |
| 1730522863 | Derek K Smith | Student in an Organized Health Care Education/Training Program | 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 | 2013-04-08 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1780937961 | Derek Smith | Physical Therapist | 7405 W Arizona Pl, Lakewood, CO 80232-5416 | 2012-10-24 |
| 1407869019 | Derek R Smith | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-14 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| 1255981601 | Derek Smith | Nurse Practitioner | 3601 4th St, Lubbock, TX 79430-0002 | 2019-09-18 |
| Street Address |
809 IROQUOIS CIR |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730542416 | Malarie J Montie | Chiropractor | 550 W Maple St # 201, Baraboo, WI 53913-1166 | 2016-03-31 |
| 1881052819 | Montie Enterprises LLC | Chiropractor | E10838 Deer Run Rd, Baraboo, WI 53913-9766 | 2016-02-04 |
| 1699982561 | Kevin Moore Bartol | Chiropractor | 519 South Blvd, Baraboo, WI 53913-2865 | 2007-05-17 |
| 1023239340 | Pamela Joy Thompson | Chiropractor | 717 South Blvd, Baraboo, WI 53913-0044 | 2007-05-02 |
| 1669519096 | Michael Ronald Zolper | Chiropractor | 701 Ash St, Baraboo, WI 53913-2139 | 2007-02-01 |
| 1437243300 | Kevin T Simons | Chiropractor | 1316 Silver Dr, Baraboo, WI 53913-8935 | 2006-10-03 |
| 1447358403 | Steven M Witters | Chiropractor | 1030 8th St, Baraboo, WI 53913-1850 | 2006-09-20 |
| 1962509604 | Jason C Theobald | Chiropractor | 550 W Maple St, Baraboo, WI 53913-1166 | 2006-09-17 |
| 1356394225 | Bethany S. Sleight-prindle | Chiropractor | 708 Elizabeth St, Baraboo, WI 53913-2372 | 2006-05-19 |
| 1437102563 | Burkhalter Chiropractic Sc | Chiropractor | 920 8th Ave, Baraboo, WI 53913-1247 | 2006-05-18 |
| Find all providers in BARABOO | ||||
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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.