DR. JACOB E SMITH (NPI# 1538249016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538249016 |
| Entity Type | Individual |
| Full Name | DR. JACOB E SMITH |
| Credential | M.D. |
| Practice Address |
960 E Walnut Lawn St Suite 102 Springfield MO 65807-7506 |
| Practice Telephone | 4178753600 |
| Practice Fax Number | 4178753625 |
| Mailing Telephone | 4178753600 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2011006609 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206588907 | 05 | |
| MO | 1538249012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825698 | Jacob Smith | Contractor | 960 W Southern Ave Apt 2006, Mesa, AZ 85210-4968 | 2020-09-10 |
| 1396224838 | Jacob Smith | Pathology | A711 Scaife Hall 3550 Terrace Street, Pittsburgh, PA 15261-0001 | 2018-08-07 |
| 1255790788 | Jacob Glen Smith | Chiropractor | 107 Commerce Dr, Suite A, Green River, WY 82935-6179 | 2016-02-11 |
| 1548675945 | Jacob Steven Smith | Specialist/Technologist | 309 Lake Shore Cir, Bloomington, IL 61704-1412 | 2014-06-24 |
| 1629498209 | Jacob David Smith | Counselor | 3932 W Martin Mill Pike, Knoxville, TN 37920-2457 | 2014-04-22 |
| 1972859676 | Jacob Smith | Massage Therapist | 8137 Sw 40th Ave, Portland, OR 97219-3502 | 2012-07-31 |
| 1932332434 | Jacob Thomas Smith | Dentist | 200 Cornerstone Dr Ste 200&203, Cary, NC 27519-8428 | 2009-08-31 |
| 1528170818 | Jacob Tyler Smith | Optometrist | 3720 W Robinson St, Suite 118, Norman, OK 73072-3657 | 2006-08-31 |
| 1003417510 | Jacob L Smith | Pharmacist | 4627 S 900 E, Salt Lake City, UT 84117-4879 | 2020-11-03 |
| 1427672450 | Jacob Connor Smith | Optometrist | 110 College St Ste B, Athens, AL 35611-2714 | 2020-06-05 |
| Street Address |
960 E WALNUT LAWN ST SUITE 102 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846407 | Jeffrey Richard Fenwick | Otolaryngology | 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807-7506 | 2005-07-29 |
| 1467974964 | Whitney Lauren Hayden | Audiologist | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2017-07-17 |
| 1861881229 | Stephanie N Hart | Dietitian, Registered | 960 E Walnut Lawn St, Suite 203, Springfield, MO 65807 | 2015-01-22 |
| 1336548023 | Queen City Anesthesia Group, LLC | Anesthesiology | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2014-08-19 |
| 1073807384 | Ladonna Marie Webb | Dietitian, Registered | 960 E Walnut Lawn St, Suite 203, Springfield, MO 65807-7506 | 2011-06-03 |
| 1063701027 | Emily Bigley | Dietitian, Registered | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2011-03-30 |
| 1164595153 | Regional Services | Family Medicine | 960 E Walnut Lawn St, Ste. 201, Springfield, MO 65807-7506 | 2006-11-16 |
| 1457436735 | John Dock | Specialist | 960 E Walnut Lawn St, Ferrell Duncan Clinic Ent, Springfield, MO 65807-7506 | 2006-10-26 |
| 1710069745 | Stacy L Blackington | Audiologist | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2006-10-19 |
| 1083712327 | Jodi Flynn | Physician Assistant | 960 E Walnut Lawn St, Suite 203, Springfield, MO 65807-7506 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
| 1114052784 | Robert H Osofsky Md PC | Otolaryngology | 299 Carew St., Suite 330, Springfield, MA 01104 | 2007-02-22 |
| 1760552897 | Doctors Hearing Center LLC Xiv | Otolaryngology | 628 Commercial Street, Springfield, MO 75803 | 2006-11-08 |
| 1598875676 | Eric Furst | Otolaryngology | 5504 Backlick Rd, Springfield, VA 22151 | 2006-08-30 |
| 1831113919 | Michelle M Roeser | Otolaryngology | 8314 Traford Ln, C, Springfield, VA 22152-1651 | 2006-07-26 |
| 1952347254 | Carl E Reiner | Otolaryngology | 100 E Wason Avenue, Suite 100, Springfield, MA 01107 | 2006-06-22 |
| 1316910714 | Springfield Hospital | Otolaryngology | 364 River St, Springfield, VT 05156 | 2006-02-08 |
| 1851362289 | Michael B Duvall | Otolaryngology | 435 South Burnett Road, Springfield, OH 45505-2717 | 2006-02-01 |
| 1053382689 | Ear, Nose and Throat of Springfield, Inc | Otolaryngology | 435 S Burnett Rd, Springfield, OH 45505-2717 | 2006-01-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.