DR. KELLY ANN SMITH (NPI# 1578791984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578791984 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANN SMITH |
| Credential | MD |
| Practice Address |
2500 Ne Neff Rd Bend OR 97701-6015 |
| Practice Telephone | 5413824321 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2012015996 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| Street Address |
2500 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942709 | Gary D Hood | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-06-14 |
| 1053927871 | Chelsey Candida Gersema | Registered Nurse | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-09-17 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| 1528525995 | Steven Diaz | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-02-21 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1447738547 | Victoria Stavish | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-07-31 |
| 1457841173 | Regina M Joshi-mcgaw | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-05-17 |
| 1215439435 | Lesley Srikantaiah | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-03-03 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447535075 | Bend Memorial Clinic PC | Emergency Medicine | 13000 Sw Century Drive, Bend, OR 97702 | 2011-10-14 |
| 1851503940 | Damian P Vraniak | Emergency Medicine | 649 Nw Compass Ln, Bend, OR 97701-6942 | 2007-05-03 |
| 1215908777 | Gregory Merrill Harp | Emergency Medicine | 1302 Ne 3rd St, Bend, OR 97701-4333 | 2006-01-31 |
| 1528062056 | Christopher Francis Richards | Emergency Medicine | St Charles Medical Center, Bend, 2500 Ne Neff Blvd, Bend, OR 97701-6015 | 2005-06-13 |
| 1023541174 | Clayton Stanford Garthe | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2017-04-05 |
| 1538521554 | Stewart Dandorf | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-03-28 |
| 1265775456 | Justin Lee Stimac | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2013-04-05 |
| 1194068957 | Megan Johanna Wolf | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2013-03-30 |
| 1902163736 | Cory Alan Siebe | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701 | 2012-04-18 |
| 1114238847 | Gretchen Holst Jones | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2010-06-28 |
| Find all providers in BEND | ||||
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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.